# KASKASKIA MEDICAL CENTER, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508844325
- **Authorized official:** MICHAEL DARMADI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (618) 283-4445

## Contact information

- **Practice address:** 1003 N 8TH ST, VANDALIA, IL 62471-1238
- **Practice address phone:** (618) 283-4445
- **Practice address fax:** (618) 283-4446
- **Mailing address:** 1003 N 8TH ST, VANDALIA, IL 62471-1238
- **Mailing address phone:** (618) 283-4445
- **Mailing address fax:** (618) 283-4446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036097600 | IL | Yes |
| 208000000X | Pediatrics Physician | 036097600 | IL | — |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 03/26/2018