Organization
S I NEUROLOGY & SLEEP MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAKHRE ALAM MD (MD)
(618) 549-6378
Entity
Organization
Contact information
Practice address
2731 WEST MAIN STREET, SUITE A, CARBONDALE, IL 62901
(618) 549-6378
(618) 529-2347
Mailing address
PO BOX 489, CARBONDALE, IL 62903-0489
(618) 549-6378
(618) 529-2347
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036101704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101704
—
IL
Enumeration date
10/16/2006
Last updated
01/31/2024
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