NPI 1366540593
Southern Illinois Surgical Consultants S.C.
Practice location
- Address
- 2227 Vadalabene Dr STE 300, Maryville, IL 62062-5823
- Phone
- (618) 288-7485
- Fax
- (618) 288-9086
Authorised official
- Name
- Morris a Kugler
- Title
- President
- Phone
- (618) 288-7485
Registered specialties
Surgery Physician
Primary
Registry record
- NPI
- 1366540593
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 10 Feb 2009
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.