Organization · Type 2 NPI
The Carbondale Clinic Ambulatory Surgical Treatment Center
Ambulatory Surgical Clinic/Center · Carbondale, IL
NPI number
1679639918
Active
Practice location
2601 W Main St
Carbondale, IL 62901-1031
Fax (618) 549-5128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 7001019 (IL) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1679639918
The Carbondale Clinic Ambulatory Surgical Treatment Center's National Provider Identifier is 1679639918, issued on Dec 29, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Carbondale, IL. The record was last updated on May 9, 2008.