Organization
HEARING CARE CENTERS OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA L FLESHREN HIS (OWNER)
(618) 960-4763
Entity
Organization
Contact information
Practice address
1480 N GREEN MOUNT RD, STE 200, O FALLON, IL 62269-3466
(618) 960-4763
Mailing address
1480 N GREEN MOUNT RD, STE 200, O FALLON, IL 62269-3466
(618) 960-4763
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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