| NPI | 1508924093 |
|---|---|
| Doing Business As | SOUTHERN ILLINOIS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NELSON C WEICHOLD CFO 217-545-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-07-21 |