| NPI | 1871882787 |
|---|---|
| Doing Business As | SIU HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JERRY KRUSE CEO 217-545-7876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-07-21 |