NPI:
1962689240
Provider Name:
CRAIG W. FURRY
Doing Business As: SOUTHERN ILLINOIS IMMEDIATE CARE, LLC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
Address:
1306 N ATCHISON AVE
SUITE C
MARION, IL
ZIP 62959
Phone:
(618) 998-1900
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CRAIG W. FURRY is a primary care clinic center in Marion, IL. CRAIG W. FURRY NPI is 1962689240. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Illinois Immediate Care, Llc.
The provider's business location address is:
1306 N ATCHISON AVE
SUITE C
MARION, IL
ZIP 62959-426
Phone: (618) 998-1900
Fax: (618) 998-1990
The provider's authorized official is Kelli S Boss .
The authorized official title is Billing Department and has the following contact phone number (618) 998-1900.
The enumeration date for this NPI number is 1/29/2008 and was last updated on 2/2/2011.