| Usc Telehealth | |
|
809 Deer Creek Rd O Fallon IL 62269-4207 | |
| (618) 726-7364 | |
| Not Available |
| Full Name | Usc Telehealth |
|---|---|
| Speciality | Social Worker - School |
| Location | 809 Deer Creek Rd, O Fallon, Illinois |
| Authorized Official Name and Position | Nadia Islam (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8667406502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usc Telehealth 809 Deer Creek Rd O Fallon IL 62269-4207 Ph: (618) 726-7364 | Usc Telehealth 809 Deer Creek Rd O Fallon IL 62269-4207 Ph: (618) 726-7364 |
| NPI Number | 1831510833 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831510833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
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