Physician Services Corporation of Southern Illinois Inc.
NPI #1831101807 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1831101807
- Entity Type
- Organization
- Organization Name
- Physician Services Corporation of Southern Illinois Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Aug 25, 2015
Practice Location
- Address
- 4218 LINCOLNSHIRE DR
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2156
- Phone
- (618) 899-3600
Authorized Official
- Name
- DELAND EVISCHI
- Title
- VP FINANCE SMGSMG
- Phone
- (618) 899-1040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Obstetrics & Gynecology |
| Otolaryngology |
| Pediatrics |
| Surgery |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Physician Assistant |
| Clinic/Center - Rural Health — Rural Health |
| Internal Medicine |
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