Type 2 organization · NPI 1013351667
SOUTHERN ILLINOIS MEDICAL SPECIALISTS, LLC
207R00000X · SESSER, IL
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207R00000X | 207R00000X | Primary |
| 207P00000X | 207P00000X | Additional |
| 207P00000X | 207P00000X | Additional |
| 207P00000X | 207P00000X | Additional |
| 207P00000X | 207P00000X | Additional |
| 207R00000X | 207R00000X | Additional |
| 207R00000X | 207R00000X | Additional |
| 207R00000X | 207R00000X | Additional |
| 207RH0002X | 207RH0002X | Additional |
| 207RS0012X | 207RS0012X | Additional |
| 208VP0014X | 208VP0014X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s