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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 Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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