Provider First Line Business Practice Location Address:
SIH MEMORIAL HOSPITAL OF CARBONDALE
Provider Second Line Business Practice Location Address:
405 W JACKSON ST, CARBONDALE, IL 62901
Provider Business Practice Location Address City Name:
CARBONDALE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-639-8847
Provider Business Practice Location Address Fax Number:
404-806-4330
Provider Enumeration Date:
05/24/2021