| NPI | 1245577642 |
|---|---|
| Other Name | SOUTHERN ILLINOIS IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | CRAIG W FURRY Owner 618-542-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |