Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Hospital of Carbondale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY RICHARD FOX P.T. (PHYSICAL THERAPIST)
(618) 549-0721
Entity
Organization
Contact information
Practice address
305 W JACKSON ST, CARBONDALE, IL 62901-1474
(618) 549-0721
Mailing address
1706 W JOSEPHINE LN, MARION, IL 62959-1564
(618) 993-6963
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
IL
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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