Provider First Line Business Practice Location Address:
1000 HEALTH CENTER DRIVE
Provider Second Line Business Practice Location Address:
SURGERY/ANESTHESIA DEPARTMENT
Provider Business Practice Location Address City Name:
MATTOON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61938-0372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-258-2440
Provider Business Practice Location Address Fax Number:
217-258-2186
Provider Enumeration Date:
01/22/2007