Shawnee Health Service and Development Corp
NPI #1841903895 in Johnston City, Illinois
Provider Information
- NPI Number
- 1841903895
- Entity Type
- Organization
- Organization Name
- Shawnee Health Service and Development Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 4, 2023
- Last Updated
- Apr 9, 2024
Practice Location
- Address
- 1108 GRAND AVE
- City
- Johnston City
- State
- Illinois
- ZIP Code
- 62951-1229
- Phone
- (618) 519-9200
Authorized Official
- Name
- CHRISTINA CARNEY
- Title
- CEO
- Phone
- (618) 956-9521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Dentist - General Practice — General Practice |
| Dental Hygienist |
| Family Medicine |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Christa S Pestka, MD | |
| MR. Donald Lee Griffin, MD | |
| Gregorio Manuel Manabat, M.D. |
Organizations
| Provider Name | |
|---|---|
| Shawnee Health Service and Development Corp Part of Shawnee Health Service and Development Corp | |
| Shawnee Health Service and Development Corp Part of Shawnee Health Service and Development Corp |
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