Graduated: 2004
NPI: 1992894703
Practice Locations (4)
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
SOUTHERN ILLINOIS MEDICAL SERVICES NFP
502 W SAINT LOUIS ST, SUITE 4
WEST FRANKFORT, IL 628961968
6189373400
Source: CMS National Downloadable File, September 2026.