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Organization
INTEGRATED HEALTH OF SOUTHERN ILLINOIS
Active
Organization
INTEGRATED HEALTH OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HESTER (CEO)
(618) 252-5555
Entity
Organization
Contact information
Practice address
310 W PLAZA DR, CARTERVILLE, IL 62918-1980
(618) 985-9914
Mailing address
303 S COMMERCIAL ST, STE 10, HARRISBURG, IL 62946-2125
(618) 252-5555
(618) 252-2279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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