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Organization
ALTON MULTISPECIALISTS, LTD.
Active
Organization
ALTON MULTISPECIALISTS, LTD.
Active
Parent organization
ALTON MULTISPECIALISTS, LTD.
Other names
Alton MultiSpecialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTON MULTISPECIALISTS, LTD.
Authorized official
MRS. SHERRI R HENSON (EXECUTIVE DIRECTOR)
(618) 463-8534
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(618) 463-8500
(618) 474-0130
Mailing address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(618) 463-8500
(618) 474-0130
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100867
MAMMOGRAPHY SERVICES
IL
Enumeration date
08/28/2015
Last updated
08/28/2015
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