Radiologic Interpretations of Southern Illinois Ltd
NPI #1730218652 in Carbondale, Illinois
Provider Information
- NPI Number
- 1730218652
- Entity Type
- Organization
- Organization Name
- Radiologic Interpretations of Southern Illinois Ltd
- Primary Specialty
- Radiologic Technologist
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Nov 12, 2015
Practice Location
- Address
- 1200 CEDAR COURT
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-5334
- Phone
- (618) 529-8500
Authorized Official
- Name
- DR. DOUGLAS L FULK, MD
- Title
- PRESIDENT
- Phone
- (618) 529-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist |
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