Organization · Type 2 NPI

Shawnee Health Service and Development Corp

Family Medicine Physician · Johnston City, IL

NPI number 1083328843 Active

Practice location

100 E 12th St
Johnston City, IL 62951-1513

Fax (618) 998-0880

Mailing address

109 California St, PO Box 577
Carterville, IL 62918

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
General Practice Dentistry 1223G0001XNone listed
Dental Hygienist 124Q00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1083328843

Shawnee Health Service and Development Corp's National Provider Identifier is 1083328843, issued on Jan 6, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Johnston City, IL. The record was last updated on Apr 9, 2024.