Graduated: 2016
NPI: 1619412475
Practice Locations (3)
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.