Organization
SOUTHERN ILLINOIS VEIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBELEN M.D. (OWNER)
(618) 998-8346
Entity
Organization
Contact information
Practice address
3106 OUTER DR, SUITE 100, MARION, IL 62959-5270
(618) 998-8346
(618) 997-3942
Mailing address
3106 OUTER DR, SUITE 100, MARION, IL 62959-5270
(618) 998-8346
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
08/10/2007
Last updated
04/20/2008
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