Organization
SOUTHERN ILLINOIS ACUTE CARE CONSULTANTS,LTD
Active
Organization
SOUTHERN ILLINOIS ACUTE CARE CONSULTANTS,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY C VACCA D.O. (PRESIDENT-PHYSICIAN)
(618) 242-8900
Entity
Organization
Contact information
Practice address
4106 SOUTH WATER TOWER PLACE, MOUNT VERNON, IL 62864-6544
(618) 242-8900
(618) 242-8967
Mailing address
4106 SOUTH WATER TOWER PLACE, MOUNT VERNON, IL 62864-6544
(618) 242-8900
(618) 242-8967
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036105971
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105971
—
IL
01
—
04132005
BCBS
IL
01
—
081851
HEALTH ALLIANCE
IL
01
—
264630
HEALTHLINK
IL
01
—
290014938
RAILROAD MEDICARE
IL
Enumeration date
04/10/2007
Last updated
06/10/2008
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