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Organization

EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA STUBBLEFIELD LCSW (EPILEPSY SERVICES COORDINATOR)
(618) 244-6680
Entity
Organization

Contact information

Practice address
1100 S 42ND ST, MOUNT VERNON, IL 62864-6216
(618) 244-6680
(618) 244-6686
Mailing address
1100 S 42ND ST, MOUNT VERNON, IL 62864-6216
(618) 244-6680
(618) 244-6686

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
IL

Other

Enumeration date
02/22/2007
Last updated
08/22/2020
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