NPI 1346305638
Memorial Hospital
Practice location
- Address
- 305 W Jackson St, Carbondale, IL 62901-1474
- Phone
- (618) 549-0721
- Mailing address
- 1706 W Josephine Ln, Marion, IL 62959-1564
Authorised official
- Name
- Jeffrey Richard Fox
- Title
- Physical Therapist
- Phone
- (618) 549-0721
Registered specialties
Rehabilitation Hospital
Primary
Registry record
- NPI
- 1346305638
- Entity type
- Organization
- NPI issued
- 27 Dec 2006
- 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.