NPI 1124153879

Epilepsy Foundation of Southern Illinois

Organisation Voluntary or Charitable Agency Mount Vernon, IL

Practice location

Address: 1100 S 42nd St, Mount Vernon, IL 62864-6216
Phone: (618) 244-6680
Fax: (618) 244-6686

Authorised official

Name: Sara Stubblefield
Title: Epilepsy Services Coordinator
Phone: (618) 244-6680

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

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Registry record

NPI: 1124153879
Entity type: Organization
NPI issued: 22 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.