Southern Illinois Family Medicine Corporation
Southern Illinois Family Medicine Corporation is a Family Medicine Physician in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
104 Magnolia Dr Ste AGlen Carbon, IL 62034-1595
Phone: (618) 288-9466
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036114185 (IL) |
|---|
Record details
| NPI number | 1629086806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jim Hong — Owner · (618) 288-9466 |
| NPI enumerated | August 4, 2006 |
| Last updated in NPPES | February 1, 2018 |
| Mailing address | 104 Magnolia Dr Ste A, Glen Carbon, IL 62034-1595 |
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