Si Medical Weight Loss
NPI #1699142612 in Belleville, Illinois
Provider Information
- NPI Number
- 1699142612
- Entity Type
- Organization
- Organization Name
- Si Medical Weight Loss
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 25, 2015
- Last Updated
- Aug 25, 2015
Practice Location
- Address
- 123 LINCOLN PLACE CT
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-5884
- Phone
- (618) 234-5677
Authorized Official
- Name
- MS. CAROL ELIZABETH CANDLER, NP-C
- Title
- NURSE PRACTITIONER
- Phone
- (618) 741-4454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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