GASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLC

HERRIN, IL
NPI1609914183
Doing Business AsSUSHILKUMAR TIBREWALA, MD
Entity TypeOrganization
Authorized ContactSUSHILKUNAR MAHABIRPRASAD TIBREWALA
President
618-998-8885
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IL  036-073571)
Enumeration Date2007-02-04
Last Update Date2018-09-11
Business Address
GASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLC
3301 PATRIOT CT
HERRIN, IL 62948-3782
Phone number: 618-998-8885
Mailing Address
GASTROENTEROLOGY CARE OF SOUTHERN ILLINOIS, LLC
24 PINE LAKE DR
CARBONDALE, IL 62901-5410
Phone number: 618-529-3308