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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.

Active Organization

Family Medicine · FAIRFIELD, IL

Registration Details

NPI Number
1912904574
Provider Type
Organization
NPI Issued
Jun 28, 2005 (20.85423260694 yrs)
Last Updated
Jan 14, 2011
Licenses
060005614 (IL)
060005614 (IL)
060005614 (IL)
060005614 (IL)
060005614 (IL)

Practice Information

Address
209 NW 11TH ST
FAIRFIELD, IL, 628371218
Browse IL providers · Browse ZIP 62837
Phone
6188424470
Fax
6188423437
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Pediatrics
Additional Specialty
Nurse Practitioner
Additional Specialty
Physician Assistant

Other Family Medicine Organizations in FAIRFIELD, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.