Organization
ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN BENOIT HOULE M.D. (PRESIDENT)
(618) 242-3778
Entity
Organization
Contact information
Practice address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
(618) 242-2551
Mailing address
4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
(618) 242-3778
(618) 242-2551
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036097382
IL
Other
Enumeration date
05/17/2006
Last updated
12/18/2014
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