SOUTHERN ILLINOIS SURGICAL APPLIANCE CO. is a durable medical equipment medical supplies in Carbondale, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHERN ILLINOIS SURGICAL APPLIANCE CO. NPI is 1720199748. The provider is registered as an organization entity type.
The provider Is Doing Business As Sisa Home Medical.
The provider's business location address is:
1301 W MAIN ST
CARBONDALE, IL
ZIP 62901-227
Phone: (618) 529-2406
Fax: (618) 351-7466
The provider's authorized official is Ralph Randolph Lewis .
The authorized official title is President and has the following contact phone number (618) 932-3157.
The CLIA number assigned to this NPI record is 14D2208683 - other - shelter for dcfs youth with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/25/2010.