Physician Services Corporation of Southern Illinois

NPI #1831337450 in Mount Vernon, Illinois

Provider Information

NPI Number
1831337450
Entity Type
Organization
Organization Name
Physician Services Corporation of Southern Illinois
Subpart
Yes (part of a larger organization)
Parent Organization
PHYSCIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS
Primary Specialty
Surgery
Enumeration Date
Feb 4, 2009
Last Updated
Feb 4, 2009

Practice Location

Address
4218 LINCOLNSHIRE DR
ZIP Code
62864-2156
Phone
(618) 532-9350

Authorized Official

Name
TAMMY L SIMONTON
Title
BILLING MNG
Phone
(618) 436-6267

Specialties & Taxonomy Codes

Specialty
Surgery

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