Southern Illinois Gastroenterology LLC

NPI #1902467798 in Highland, Illinois

Provider Information

NPI Number
1902467798
Entity Type
Organization
Organization Name
Southern Illinois Gastroenterology LLC
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Jun 24, 2019
Last Updated
Jun 24, 2019

Practice Location

Address
1212 BROADWAY
ZIP Code
62249-1960
Phone
(618) 391-5070

Authorized Official

Name
EDMUNDO A RODRIGUEZ-FRIAS, MD
Title
OWNER
Phone
(618) 391-5070

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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