Organization
ALTON MULTISPECIALISTS, LTD.
Active
Other names
Alton MultiSpecialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI R HENSON (EXECUTIVE DIRECTOR)
(618) 463-8534
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(618) 463-8500
(618) 474-0130
Mailing address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(618) 463-8500
(618) 474-0130
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042005251
MAMMOGRAPHY SERVICES
IL
Enumeration date
09/01/2015
Last updated
09/01/2015
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