Organization
RADIOLOGIC INTERPRETATIONS OF SOUTHERN ILLINOIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS L FULK MD (PRESIDENT)
(618) 529-8500
Entity
Organization
Contact information
Practice address
1200 CEDAR COURT, CARBONDALE, IL 62901-5334
(618) 529-8500
(618) 549-1000
Mailing address
1200 CEDAR COURT, CARBONDALE, IL 62901-5334
(618) 529-8500
(618) 549-1000
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
11/12/2015
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