Organization
SIU PHYSICIANS & SURGEONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO TURLEY (MEDICAL STAFF COORDINATOR)
(217) 545-7876
Entity
Organization
Contact information
Practice address
720 N BOND ST, SPRINGFIELD, IL 62702-4952
(217) 545-7876
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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