Organization
EPILEPSY FOUNDATION OF GREATER SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY L BAXTER (EXECUTIVE DIRECTOR)
(618) 236-2181
Entity
Organization
Contact information
Practice address
3515 N BELT W, BELLEVILLE, IL 62226-5944
(618) 236-2181
(618) 236-3654
Mailing address
3515 N BELT W, BELLEVILLE, IL 62226-5944
(618) 236-2181
(618) 236-3654
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
199100111S
IL
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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