Graduated: 2001
NPI: 1477673747
Practice Locations (5)
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
203 BAILEY LN
BENTON, IL 628121969
6184385670
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
203 BAILEY LN, SUITE 1
BENTON, IL 628121969
6184385670
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
2601 W MAIN ST
CARBONDALE, IL 629011031
6185495361
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
405 RUSHING DR
HERRIN, IL 629483730
6189933300
LOGAN PRIMARY CARE SERVICE CORP.
405 RUSHING DR
HERRIN, IL 629483730
Source: CMS National Downloadable File, September 2026.