Organization
PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS S.C
Active
Parent organization
PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS S.C.
Other names
St. Marys Good Samaritan Medical Group Ultrasound
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS S.C.
Authorized official
MR. RICHARD HUNTINGTON (VP FINANCIAL SERVICES)
(618) 241-2204
Entity
Organization
Contact information
Practice address
1708 JEFFERSON AVE, SUITE 100, MOUNT VERNON, IL 62864-4309
(618) 241-1856
(618) 241-1857
Mailing address
413 MAIN ST, MOUNT VERNON, IL 62864-3649
(618) 532-9350
(618) 532-9365
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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