# SIU PHYSICIANS & SURGEONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN ILLINOIS FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508924093
- **Authorized official:** MR. NELSON C WEICHOLD (CFO)
- **Authorized official phone:** (217) 545-7578

## Contact information

- **Practice address:** 305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901-1474
- **Practice address phone:** (618) 453-3777
- **Practice address fax:** (618) 453-1102
- **Mailing address:** PO BOX 19639, SPRINGFIELD, IL 62794-9639
- **Mailing address phone:** (217) 545-7578
- **Mailing address fax:** (217) 545-1884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 07/21/2022