NPI Provider: 1093775405
Contact Name: Makhdoom A Zahoor
Position: MD Owner
Phone: (618) 549-8006
Southern Illinois Gi Specialists Llc Information:
Southern Illinois Gi Specialists Llc organization have npi 1093775405, taxonomy code is 207RG0100X with license number is in . This Business address located in PO Box 365, Carbondale, IL 62903 Illinois.
Practice Location
Address: 1100 W Diann Ln, Carbondale, IL 62901
Phone: (618) 549-8006
Business Location
Address: PO Box 365, Carbondale, IL 62903
Phone: (618) 476-9399
Fax: (618) 476-9547
Taxonomy
Taxonomy Code: 207RG0100X
License Number:
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 3/28/2006
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