Neurological Surgeons of Southern Illinois
NPI #1730295361 in Carbondale, Illinois
Provider Information
- NPI Number
- 1730295361
- Entity Type
- Organization
- Organization Name
- Neurological Surgeons of Southern Illinois
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 305 W JACKSON ST
- Address 2
- SUITE 103
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1474
- Phone
- (618) 549-6031
Authorized Official
- Name
- ALLAN C GOCIO, M.D.
- Title
- OWNER
- Phone
- (618) 549-6031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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