Organization
SIU PHYSICIANS & SURGEONS, INC.
Active
Other names
SOUTHERN ILLINOIS FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NELSON C WEICHOLD (CFO)
(217) 545-7578
Entity
Organization
Contact information
Practice address
305 W JACKSON ST, SUITE 200, CARBONDALE, IL 62901-1474
(618) 453-3777
(618) 453-1102
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
12/05/2006
Last updated
07/21/2022
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