Organization
SOUTHERN ILLINOIS HAND CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASH NAAM M.D. (PRESIDENT)
(217) 347-3003
Entity
Organization
Contact information
Practice address
901 MEDICAL PARK DRIVE, SUITE 100, EFFINGHAM, IL 62401
(217) 347-3003
(217) 347-3005
Mailing address
901 MEDICAL PARK DRIVE, SUITE 100, EFFINGHAM, IL 62401
(217) 347-3003
(217) 347-3005
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
36067047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500075
BCBS IL
—
01
—
DA0723
RAILROAD MEDICARE
—
Enumeration date
05/03/2007
Last updated
04/04/2017
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