Organization
USC TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIA ISLAM (CLINICAL DIRECTOR)
(866) 740-6502
Entity
Organization
Contact information
Practice address
809 DEER CREEK RD, O FALLON, IL 62269-4207
(618) 726-7364
Mailing address
809 DEER CREEK RD, O FALLON, IL 62269-4207
(618) 726-7364
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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