Organization
SOUTHERN ILLINOIS CONSULTANTS FOR KIDNEY DISEASE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J. ZELMAN M.D. (C.E.O.)
(618) 244-4850
Entity
Organization
Contact information
Practice address
416 N 12TH ST, MOUNT VERNON, IL 62864-4314
(618) 244-4850
(618) 244-7985
Mailing address
PO BOX 1704, MOUNT VERNON, IL 62864-0034
(618) 244-4850
(618) 244-7985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
060-007470
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3523854003
—
IL
01
—
4123105
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/10/2006
Last updated
01/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us