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Organization
SOUTHERN ILLINOIS MEDICAL SPECIALISTS, LLC
Active
Organization
SOUTHERN ILLINOIS MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE PETER BEE D.O., F.A.C.O.I. (CEO/SOLE MEMBER/MANAGER)
(618) 625-2105
Entity
Organization
Contact information
Practice address
107 W FRANKLIN ST, SESSER, IL 62884-1456
(618) 625-2105
(618) 625-2108
Mailing address
107 W FRANKLIN ST, SESSER, IL 62884-1456
(618) 625-2105
(618) 625-2108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
034.009566
OH
207P00000X
Emergency Medicine Physician
036.125672
IL
207P00000X
Emergency Medicine Physician
2012021377
MO
207P00000X
Emergency Medicine Physician
4273
OK
207R00000X
Internal Medicine Physician
034.009566
OH
207R00000X
Internal Medicine Physician
Primary
036.125672
IL
207R00000X
Internal Medicine Physician
2012021377
MO
207R00000X
Internal Medicine Physician
4273
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
036.125672
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036.125672
IL
208VP0014X
Interventional Pain Medicine Physician
036.125672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125672
—
IL
Enumeration date
04/25/2013
Last updated
04/25/2013
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