Organization directory

<UNAVAIL> fax numbers

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4996 S STATE ROUTE 159 STE B, GLEN CARBON, IL, 62034-1913
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
<UNAVAIL>
NPI number
1376590307
Practice address
4996 S STATE ROUTE 159 STE B, GLEN CARBON, IL, 62034-1913
Telephone
(618) 288-4677
Provider specialty
See registry classification 261QP2000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(618) 288-4699
NPI 1376590307

4996 S STATE ROUTE 159 STE B, GLEN CARBON, IL, 62034-1913

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source