Organization · Type 2 NPI
Si Medical, Inc.
Primary Care Nurse Practitioner · Marion, IL
NPI number
1659632602
Active
Practice location
1909 W Coolidge Ave
Marion, IL 62959-1097
Fax (618) 998-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 164.003714 (IL) |
| Medical Physician Assistant | 363AM0700X | 85.003452 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209.002243 (IL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209.005527 (IL) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Marion
About NPI 1659632602
Si Medical, Inc.'s National Provider Identifier is 1659632602, issued on Jun 6, 2012. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Marion, IL. The record was last updated on May 20, 2014.