Graduated: 2023
NPI: 1780452235
Practice Locations (2)
PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC
1003 E MCCORD ST
CENTRALIA, IL 628013345
6184366633
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
213 NW 10TH ST, SUITE A
FAIRFIELD, IL 628371219
Source: CMS National Downloadable File, September 2026.