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NPI Provider: 1639177033
Contact Name: SIEGEL MELVIN
Position: PRESIDENT
Phone: (847) 679-0100
Vandalia Terrace, Ltd Information:
Vandalia Terrace, Ltd organization have npi 1639177033, taxonomy code is 313M00000X with license number is 37309 in . This Business address located in 1610 Hillsboro Rd, Vandalia, IL 62471 Illinois. Get directions of Vandalia Terrace, Ltd.
Practice Location
Address: 1610 Hillsboro Rd, Vandalia, IL 62471
Phone: (618) 283-1434
Business Location
Address: 1610 Hillsboro Rd, Vandalia, IL 62471
Phone: (618) 283-1434
Fax: (618) 283-2174
Taxonomy
Taxonomy Code: 313M00000X
License Number: 37309
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 7/8/2005
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