Organization
SIU HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE HATTEY CPC (BILLING SUPERVISOR)
(217) 224-9484
Entity
Organization
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7894
Mailing address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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