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SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES LLC NPI 1114083169


NPI Information

NPI: 1114083169
Provider Name: SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES, LLC

Other Name: SIMCA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3331 W DEYOUNG ST
SUITE 305
MARION, IL
ZIP 62959
Phone: (618) 998-7000
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SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES, LLC is a family medicine in Marion, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHERN ILLINOIS MEDICAL CARE ASSOCIATES, LLC NPI is 1114083169. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Simca.

The provider's business location address is:

3331 W DEYOUNG ST
SUITE 305
MARION, IL
ZIP 62959-896
Phone: (618) 998-7000

The provider's authorized official is Sean Mccain .
The authorized official title is Physician and has the following contact phone number (618) 998-7000.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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