Southern Illinois Surgical Associates, Pc

LBN: Southern Illinois Surgical Associates, Pc
Southern Illinois Surgical Associates, Pc is an health care organization with primary practice located at 8333 Express Dr Ste D , Marion IL 62959-6474. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Southern Illinois Surgical Associates, Pc can be contacted via phone (618) 997-3103, or through Miller, Rodney Lee via phone (618) 997-3103.

Contact Information

Primary practice address
8333 Express Dr Ste D Marion IL 62959-6474
Phone: (618) 997-3103
Fax: (618) 997-3241
Website:
Map and Directions
Authorized official contact:
Name: Miller, Rodney Lee Doctor of Medicine (MD)
Phone: (618) 997-3103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1184813115
LBN Legal business name Southern Illinois Surgical Associates, Pc
DBA Doing business as
Authorized official Miller, Rodney Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Oct 16th, 2007 - about 17 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 1184813115 NPPES
Illinois Other 208971 GROUP ID NUMBER

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