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
Phone: (618) 244-4850
Fax: (618) 244-7985
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144283300 | NPPES |
| Other | 4123105 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 3523854003 | BLUE CROSS BLUE SHIELD |
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