Organization
NEUROLOGICAL SURGEONS OF SOUTHERN ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN C GOCIO M.D. (OWNER)
(618) 549-6031
Entity
Organization
Contact information
Practice address
305 W JACKSON ST, SUITE 103, CARBONDALE, IL 62901-1474
(618) 549-6031
(618) 351-8651
Mailing address
305 W JACKSON ST, SUITE 103, CARBONDALE, IL 62901-1474
(618) 549-6031
(618) 351-8651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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