| Neurology Of Southern Illinois, Ltd. | |
|
3301 Logan Dr Herrin IL 62948-3732 | |
| (618) 993-0444 | |
| (618) 998-9302 |
| Full Name | Neurology Of Southern Illinois, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3301 Logan Dr, Herrin, Illinois |
| Authorized Official Name and Position | Lori Marie Guyton (M.D.) |
| Authorized Official Contact | 6189930444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Of Southern Illinois, Ltd. 3301 Logan Dr Herrin IL 62948-3732 Ph: (618) 993-0444 | Neurology Of Southern Illinois, Ltd. 3301 Logan Dr Herrin IL 62948-3732 Ph: (618) 993-0444 |
| NPI Number | 1003950395 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800860081 |
|---|---|
| Medicare Enrollment ID | O20040824000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003950395 | NPI | - | NPPES |
| 10008620 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Illinois) | Primary |
| Provider Name | Lori M Guyton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295725752 PECOS PAC ID: 8527032705 Enrollment ID: I20040826000168 |
Children's Home And Aid Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 | |
Associated Psychotherapists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 S Park Ave, Suite D, Herrin, IL 62948 Phone: 618-988-1757 Fax: 618-988-1700 | |
Matthews And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 Fax: 618-988-8321 | |
Christian Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2804 S Park Ave, Herrin, IL 62948 Phone: 618-925-3714 Fax: 618-988-2144 | |
Nova M. Griffith, Ph.d., Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N 13th St Ste 2, Herrin, IL 62948 Phone: 618-969-2922 | |
Ts Onsite Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14376 Allen Rd, Herrin, IL 62948 Phone: 618-889-0901 |