Southern Illinois Consultants For Kidney Disease, S.C.

LBN: Southern Illinois Consultants For Kidney Disease, S.C.
Southern Illinois Consultants For Kidney Disease, S.C. is an health care organization with primary practice located at 416 N 12Th St , Mount Vernon IL 62864-4314. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Illinois Consultants For Kidney Disease, S.C. can be contacted via phone (618) 244-4850, or through Zelman, Steven J. via phone (618) 244-4850.

Contact Information

Primary practice address
416 N 12Th St Mount Vernon IL 62864-4314
Fax: (618) 244-7985
Website:
Authorized official contact:
Name: Zelman, Steven J. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 060-007470 Illinois

Profile Details

NPI number 1144283300
LBN Legal business name Southern Illinois Consultants For Kidney Disease, S.C.
DBA Doing business as
Authorized official Zelman, Steven J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144283300 NPPES
Other 4123105 BLUE CROSS BLUE SHIELD
MEDICAID 3523854003 BLUE CROSS BLUE SHIELD

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