SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.

Family Medicine

Active Organization
NPI: 1912904574

Practice Address

209 NW 11TH ST
Fairfield, IL 62837

Phone: (618) 842-4470

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 060005614 (IL)
Obstetrics & Gynecology 207V00000X No 060005614 (IL)
Pediatrics 208000000X No 060005614 (IL)
Nurse Practitioner 363L00000X No 060005614 (IL)
Physician Assistant 363A00000X No 060005614 (IL)
Family Medicine 207Q00000X Yes 060005614 (IL)

Frequently Asked Questions

NPI 1912904574 is the National Provider Identifier for SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C., a Family Medicine provider located in Fairfield, IL. This NPI was enumerated on June 28, 2005.

Quick Facts

NPI
1912904574
Type
Organization
Enumerated
Jun 28, 2005
Last Updated
Jan 14, 2011

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