Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN ILLINOIS MEDICAL PLAZA SC
Active
Organization
SOUTHERN ILLINOIS MEDICAL PLAZA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PATRICK BARRETT D.C. (PRESIDENT)
(618) 529-1943
Entity
Organization
Contact information
Practice address
2250 REED STATION PKWY, STE 305, CARBONDALE, IL 62901-3304
(618) 529-1943
(618) 549-2975
Mailing address
2250 REED STATION PKWY, CARBONDALE, IL 62901
(618) 529-1943
(618) 549-2975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007699
IL
207Q00000X
Family Medicine Physician
036093859
IL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03932090
BCBS OF IL GROUP
IL
Enumeration date
12/17/2007
Last updated
09/21/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up