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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/OWNER)
(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
202C00000X
Independent Medical Examiner Physician
036125672
IL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
036125672
IL
207R00000X
Internal Medicine Physician
Primary
036125672
IL
208VP0014X
Interventional Pain Medicine Physician
036125672
IL
261QP2300X
Primary Care Clinic/Center
036125672
IL
291U00000X
Clinical Medical Laboratory
14D2034829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125672
—
IL
Enumeration date
05/13/2014
Last updated
05/13/2014
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