Southern Illinois Medical Care Associates LLC

NPI #1720183320 in Marion, Illinois

Provider Information

NPI Number: 1720183320
Entity Type: Organization
Organization Name: Southern Illinois Medical Care Associates LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 14, 2006
Last Updated: Jul 7, 2023

Practice Location

Address: 3411 PROFESSIONAL PARK DR
City: Marion
State: Illinois
ZIP Code: 62959-6394
Phone: (618) 997-2161

Authorized Official

Name: LAURA J FEY
Title: SR. DIRECTOR PHYSICIAN REV CYCLE
Phone: (615) 221-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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