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SOUTHERN ILLINOIS OB-GYN ASSOCIATES S.C. NPI 1699838276


NPI Information

NPI: 1699838276
Provider Name: SOUTHERN ILLINOIS OB-GYN ASSOCIATES, S.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 14D0950863

Address:
500 RUSHING DR
HERRIN, IL
ZIP 62948
Phone: (618) 998-8808
Get Directions

SOUTHERN ILLINOIS OB-GYN ASSOCIATES, S.C. is an obstetrics gynecology in Herrin, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHERN ILLINOIS OB-GYN ASSOCIATES, S.C. NPI is 1699838276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 RUSHING DR
HERRIN, IL
ZIP 62948-748
Phone: (618) 998-8808

The provider's authorized official is Heather Hudson .
The authorized official title is Office Manager and has the following contact phone number (618) 998-8808.

The CLIA number assigned to this NPI record is 14D0950863 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/18/2006 and was last updated on 12/6/2022.


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
1207V00000XObstetrics & GynecologyYes

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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