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Contact Information

S I NEUROLOGY & SLEEP MEDICINE LLC
2731 WEST MAIN STREET
SUITE A
CARBONDALE, IL62901
 Phone: 618-549-6378
 Fax: 618-529-2347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for S I NEUROLOGY SLEEP MEDICINE LLC · (Female)

NPI # 1790875987
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2006
Last updated 01/31/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036101704
  • IL Medicaid 036101704
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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