Organization
INTEGRATED HEALTH OF SOUTHERN ILLINOIS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HESTER DC (OWNER)
(618) 252-5555
Entity
Organization
Contact information
Practice address
303 S COMMERCIAL ST, STE 10, HARRISBURG, IL 62946-2125
(618) 252-5555
(618) 252-2279
Mailing address
303 S COMMERCIAL ST, STE 10, HARRISBURG, IL 62946-2125
(618) 252-5555
(618) 252-2279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
042-619186
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
042620395
IL
225100000X
Physical Therapist
042619186
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209925
MEDICARE PTAN
IL
Enumeration date
03/16/2007
Last updated
06/08/2016
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