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Organization
SOUTHERN ILLINOIS INTERNAL MEDICINE LTD
Active
Organization
SOUTHERN ILLINOIS INTERNAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZHAR H LAKHO MD (OWNER PHYSICIAN)
(618) 235-8720
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DRIVE, SUITE 310, BELLEVILLE, IL 62226-5366
(618) 235-8720
(618) 235-8725
Mailing address
4600 MEMORIAL DRIVE, SUITE 310, BELLEVILLE, IL 62226-5366
(618) 235-8720
(618) 235-8725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
10/05/2006
Last updated
03/07/2008
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