Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1124153879 |
| LBN Legal business name | EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS |
| Authorized official | SARA STUBBLEFIELD - (EPILEPSY SERVICES COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/22/2007 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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