National Provider Identifier Database

EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS
Voluntary or Charitable


Contact Information

EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS
1100 S 42ND ST
MOUNT VERNON, IL62864-6216
Phone: 618-244-6680
Fax: 618-244-6686
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS

NPI Number 1124153879
Legal business name
LBN
EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS
Authorized official SARA STUBBLEFIELD - (EPILEPSY SERVICES COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 02/22/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS

There are currently no reviews for EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS


NPIdb - Home
v2.201