Individual
MARSHALL HILLERY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 MILLER DRIVE, HERRIN, IL 62948-2553
(618) 942-5166
Mailing address
1500 MILLER DRIVE, HERRIN, IL 62948-2553
(618) 942-5166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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