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SI

SOUTHERN ILLINOIS ORTHOPEDIC CENTER,LLC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
HERRIN, IL
Licensed since
2005
Rate
Federal identifiers
NPI registry number1023001377
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients315
RevalidationDue 2024-04-30
Authorized official
NameJUSTIN HARRIS
TitleCHIEF EXECUTIVE OFFICER
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