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Organization

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC

Active
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Organization

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SNODSMITH (REGIONAL VP FINANCE, CFO)
(618) 899-1040
Entity
Organization

Contact information

Practice address
2 GOOD SAMARITAN WAY, SUITE 400, MOUNT VERNON, IL 62864-2478
(618) 241-1869
Mailing address
2 GOOD SAMARITAN WAY, SUITE 400, MOUNT VERNON, IL 62864-2478
(618) 241-1869

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
03/22/2007
Last updated
08/20/2021
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