Organization · Type 2 NPI

Southern Illinois Consultants for Kidney Disease, S.c.

Specialist · Mount Vernon, IL

NPI number 1144283300 Active

Practice location

416 N 12th St
Mount Vernon, IL 62864-4314

Call (618) 244-4850 Map

Fax (618) 244-7985

Mailing address

PO Box 1704
Mount Vernon, IL 62864-0034

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X060-007470 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144283300

Southern Illinois Consultants for Kidney Disease, S.c.'s National Provider Identifier is 1144283300, issued on Apr 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jan 27, 2012.