Organization
SOUTHERN ILLINOIS HEMATOLOGY ONCOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI FALOUDI (CEO)
(618) 942-8822
Entity
Organization
Contact information
Practice address
220 S PARK AVE, HERRIN, IL 62948-3612
(618) 942-8822
(618) 942-4477
Mailing address
220 S PARK AVE, PO BOX 667, HERRIN, IL 62948-3612
(618) 942-8822
(618) 942-4477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
05/10/2010
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