Organization · Type 2 NPI
Southern Illinois Surgical Appliance Co
Customized Equipment (DME) · Belleville, IL
NPI number
1194836346
Active
Practice location
555 S Belt W
Belleville, IL 62220-2485
Fax (618) 234-7332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 20321120 (IL) |
Customized Equipment (DME): Definition to come...
About NPI 1194836346
Southern Illinois Surgical Appliance Co's National Provider Identifier is 1194836346, issued on Aug 31, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Belleville, IL. The record was last updated on Aug 22, 2020.