Southern Illinois Family Medicine Corporation

LBN: Southern Illinois Family Medicine Corporation
Southern Illinois Family Medicine Corporation is an health care organization with primary practice located at 104 Magnolia Dr Ste A , Glen Carbon IL 62034-1595. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Illinois Family Medicine Corporation can be contacted via phone (618) 288-9466, or through Hong, Jim via phone (618) 288-9466.

Contact Information

Primary practice address
104 Magnolia Dr Ste A Glen Carbon IL 62034-1595
Phone: (618) 288-9466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hong, Jim Doctor of Medicine (MD)
Phone: (618) 288-9466

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036114185 Illinois

Profile Details

NPI number 1629086806
LBN Legal business name Southern Illinois Family Medicine Corporation
DBA Doing business as
Authorized official Hong, Jim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 1st, 2018 - about 6 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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