Southern Illinois Medical Plaza Sc

LBN: Southern Illinois Medical Plaza Sc
Southern Illinois Medical Plaza Sc is an health care organization with primary practice located at 2250 Reed Station Pkwy Ste 305, Carbondale IL 62901-3304. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. Southern Illinois Medical Plaza Sc can be contacted via phone (618) 529-1943, or through Barrett, Steven Patrick via phone (618) 529-1943.

Contact Information

Primary practice address
2250 Reed Station Pkwy Ste 305 Carbondale IL 62901-3304
Phone: (618) 529-1943
Fax: (618) 549-2975
Website:
Map and Directions
Authorized official contact:
Name: Barrett, Steven Patrick Doctor of Chiropractic (DC)
Phone: (618) 529-1943

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038007699 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036093859 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1578746228
LBN Legal business name Southern Illinois Medical Plaza Sc
DBA Doing business as
Authorized official Barrett, Steven Patrick Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated Sep 21st, 2010 - about 15 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 1578746228 NPPES
Illinois Other 03932090 BCBS OF IL GROUP

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