| Physician Management Services Of Southern Illinois, Llc | |
|
3412 Office Park Dr Marion IL 62959-6477 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Southern Illinois, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3412 Office Park Dr, Marion, Illinois |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Southern Illinois, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of Southern Illinois, Llc 3412 Office Park Dr Marion IL 62959-6477 Ph: (888) 829-8550 |
| NPI Number | 1306355037 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 09/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306355037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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