Shawnee Health Service And Development Corp
Family Medicine
1700 Wildcat Dr Ste A, Marion
Illinois, 62959-1513
618-969-8228 618-998-0880
Maps & DirectionsShawnee Health Service And Development Corp is a Family Medicine Clinic in Marion, Illinois. This organization is also known as sub part of Shawnee Health Service And Development Corp. It is located at 1700 Wildcat Dr Ste A, Marion, IL and its contact number is 618-969-8228. The authorized person for Shawnee Health Service And Development Corp is Christina Carney
who is Ceo of the clinic and their contact number is 618-956-9521.
Shawnee Health Service And Development Corp Clinic Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Complete Clinic Profile:
Shawnee Health Service And Development Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shawnee Health Service And Development Corp |
| Specialization: | Family Medicine |
| Clinic Address: | 1700 Wildcat Dr Ste A, Marion,
Illinois, 62959-1513 |
| Phone: | 618-969-8228 |
| Fax: | 618-998-0880 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Christina Carney |
| Position: | Ceo |
| Contact Number: | 618-956-9521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shawnee Health Service And Development Corp clinic are as mentioned below.
| NPI Number: | 1881624161 |
| Parent Organization: | Shawnee Health Service And Development Corp |
| NPI Enumeration Date: | 03 Jul, 2006 |
| NPI Last Update On: | 17 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawnee Health Service And Development Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Family Medicine | | | Secondary | |
| General Practice | | | Secondary | |
| Mental Health | | | Secondary | |
| Clinical | | | Secondary | |
| Dental Hygienist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| CF3444 | Other | Illinois | Medicare Rr |
| 10032052 | Other | Illinois | Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shawnee Health Service And Development Corp
109 California St, P O Box 577
Carterville, Illinois |
| Zip: | 62918-0577 |
| Phone Number: | 618-985-8221 |
| Fax Number: | 618-985-6860 |
Patients can reach Shawnee Health Service And Development Corp at
1700 Wildcat Dr Ste A, Marion, Illinois or can
call to book an appointment on 618-969-8228.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.