ProviderBusinessMailingAddressFaxNumber = '6184657710'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1073595096
MID-SOUTH HEALTH CLINIC LLC
233 E CENTER DR
ALTON
IL
620025931
1548251747
NW REHAB, L.L.C.
233 E CENTER DR
ALTON
IL
620025931
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