Organization · Type 2 NPI
The Carbondale Clinic
Multi-Specialty Clinic/Center · Carbondale, IL
NPI number
1043378565
Active
Practice location
2601 W Main St
Carbondale, IL 62901-1031
Fax (618) 549-5128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 042-000266 (IL) |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1043378565
The Carbondale Clinic's National Provider Identifier is 1043378565, issued on Dec 5, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Carbondale, IL. The record was last updated on May 8, 2008.