| Southern Illinois Allergy&asthma Center,sc | |
|
1001 E Main St 2a Ppe Carbondale IL 62901-3100 | |
| (618) 549-9385 | |
| (618) 549-8795 |
| Full Name | Southern Illinois Allergy&asthma Center,sc |
|---|---|
| Speciality | Clinic/center |
| Location | 1001 E Main St, Carbondale, Illinois |
| Authorized Official Name and Position | Ronald Dean Mings (PRESIDENT) |
| Authorized Official Contact | 6185499385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Allergy&asthma Center,sc 1001 E Main St 2a Ppe Carbondale IL 62901-3100 Ph: (618) 549-9385 | Southern Illinois Allergy&asthma Center,sc 1001 E Main St 2a Ppe Carbondale IL 62901-3100 Ph: (618) 549-9385 |
| NPI Number | 1720175193 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720175193 | NPI | - | NPPES |
| 03927935 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 027533 | Other | IL | HEALTH ALLIANCE |
| 101269 | Other | IL | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
The Carbondale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-457-5200 Fax: 618-549-5128 | |
Southern Illinois Gi Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434 | |
Carbondale Community High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Giant City Rd, Carbondale, IL 62902 Phone: 618-457-4722 Fax: 618-457-3353 | |
Brown's Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Jackson St, Carbondale, IL 62901 Phone: 618-351-9559 |