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Organization
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Active
Organization
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Active
Parent organization
SOUTHERN ILLINOIS HOSPITAL SERVICES
Other names
SIH Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN ILLINOIS HOSPITAL SERVICES
Authorized official
WARREN P LADNER (SENIOR VP CHIEF FINANCIAL OFFICER)
(618) 457-5200
Entity
Organization
Contact information
Practice address
1239 E MAIN ST, CARBONDALE, IL 62901
(618) 457-5200
(618) 549-5128
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3932056
BCBS
IL
Enumeration date
11/16/2006
Last updated
01/07/2025
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