Southern Illinois Neurologic Institute
Southern Illinois Neurologic Institute provides Specialist services in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
100 N Jackson StBelleville, IL 62220-1427 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 239-6660
Fax: (618) 239-6662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 36078383 (IL) |
|---|
Record details
| NPI number | 1629190657 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Guy Burrows — Owner · (618) 239-6660 |
| NPI enumerated | April 3, 2007 |
| Last updated in NPPES | July 2, 2008 |
| Mailing address | 100 N Jackson St, Belleville, IL 62220-1427 |
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