| Med East Sc | |
|
129 N 8th St Suite 228 East Saint Louis IL 62201-2917 | |
| (618) 874-5016 | |
| Not Available |
| Full Name | Med East Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 129 N 8th St, East Saint Louis, Illinois |
| Authorized Official Name and Position | Philip H Dennis (PRESIDENT) |
| Authorized Official Contact | 6188745016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med East Sc 100 E Vandalia St Edwardsville IL 62025-1703 Ph: (618) 792-6496 | Med East Sc 129 N 8th St Suite 228 East Saint Louis IL 62201-2917 Ph: (618) 874-5016 |
| NPI Number | 1174763171 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174763171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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