SOUTHERN ILLINOIS ALLERGY&ASTHMA CENTER,SC

CARBONDALE, IL
NPI1720175193
Entity TypeOrganization
Authorized ContactRONALD DEAN MINGS
President
618-549-9385
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: IL  036-050797)
Enumeration Date2006-10-06
Last Update Date2007-09-19
Business Address
SOUTHERN ILLINOIS ALLERGY&ASTHMA CENTER,SC
1001 E MAIN ST 2A PPE
CARBONDALE, IL 62901-3100
Phone number: 618-549-9385
Mailing Address
SOUTHERN ILLINOIS ALLERGY&ASTHMA CENTER,SC
1001 E MAIN ST 2A PPE
CARBONDALE, IL 62901-3100
Phone number: 618-549-9385