Shawnee Health Service and Development Corp

NPI #1912610965 in Pittsburg, Illinois

Provider Information

NPI Number: 1912610965
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: 20163 CORINTH RD
City: Pittsburg
State: Illinois
ZIP Code: 62974-1449
Phone: (618) 519-9200

Authorized Official

Name: CHRISTINA CARNEY
Title: CEO
Phone: (618) 956-9521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Counselor - Mental Health — Mental Health	101YM0800X
Dentist - General Practice — General Practice	1223G0001X
Family Medicine	207Q00000X	Primary

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