Organization
SOUTHERN ILLINOIS UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAWRENCE HATCHETT M.D. (OWNER)
(618) 998-8884
Entity
Organization
Contact information
Practice address
3401 HEARTLAND ST, MARION, IL 62959-6393
(618) 998-8884
(618) 998-8810
Mailing address
3401 HEARTLAND ST, MARION, IL 62959-6393
(618) 998-8884
(618) 998-8810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36109353
IL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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