# SOUTHERN ILLINOIS ALLERGY&ASTHMA CENTER,SC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720175193
- **Authorized official:** DR. RONALD DEAN MINGS M.D. (PRESIDENT)
- **Authorized official phone:** (618) 549-9385

## Contact information

- **Practice address:** 1001 E MAIN ST, 2A PPE, CARBONDALE, IL 62901-3100
- **Practice address phone:** (618) 549-9385
- **Practice address fax:** (618) 549-8795
- **Mailing address:** 1001 E MAIN ST, 2A PPE, CARBONDALE, IL 62901-3100
- **Mailing address phone:** (618) 549-9385
- **Mailing address fax:** (618) 549-8795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 09/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 027533 | HEALTH ALLIANCE | IL |
| 01 | — | 03927935 | BLUE CROSS/BLUE SHIELD | IL |
| 01 | — | 101269 | HEALTHLINK | IL |