Southern Illinois Consultants for Kidney Disease, SC
Southern Illinois Consultants for Kidney Disease, SC provides Specialist services in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
416 N 12th StMount Vernon, IL 62864-4314 Not confirmed with CMS for 14 years — call before visiting
Phone: (618) 244-4850
Fax: (618) 244-7985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 060-007470 (IL) |
|---|
Record details
| NPI number | 1144283300 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Zelman — C.E.O. · (618) 244-4850 |
| NPI enumerated | April 10, 2006 |
| Last updated in NPPES | January 27, 2012 |
| Mailing address | Po Box 1704, Mount Vernon, IL 62864-0034 |
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