Shawnee Health Service And Development Corp
Neurology
109 California St, Carterville
Illinois, 62918-0577
618-985-8221 618-985-6860
Maps & DirectionsShawnee Health Service And Development Corp is a Neurology Clinic in Carterville, Illinois. It is located at 109 California St, Carterville, IL and its contact number is 618-985-8221. The authorized person for Shawnee Health Service And Development Corp is Christina Carney
who is Ceo of the clinic and his/her contact number is 618-956-9521.
Shawnee Health Service And Development Corp Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
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: | Neurology |
| Clinic Address: | 109 California St, Carterville, Illinois, 62918-0577 |
| Phone: | 618-985-8221 |
| Fax: | 618-985-6860 |
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: | 1639295314 |
| NPI Enumeration Date: | 22 Mar, 2007 |
| NPI Last Update On: | 05 Apr, 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 | |
| Clinical | | Illinois | Secondary | |
| Dentist | | Illinois | Secondary | |
| Dental Hygienist | | Illinois | Secondary | |
| Dental Assistant | | Illinois | Secondary | |
| Dietitian, Registered | | Illinois | Secondary | |
| Family Medicine | | Illinois | Secondary | |
| Adolescent Medicine | | Illinois | Secondary | |
| Pulmonary Disease | | Illinois | Secondary | |
| Obstetrics & Gynecology | | Illinois | Secondary | |
| Pediatrics | | Illinois | Secondary | |
| Neurology | | Illinois | Secondary | |
| Community/Retail Pharmacy | | Illinois | 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 |
| 022 | Medicaid | Illinois | |
| 020 | Medicaid | Illinois | |
| 640701 | Other | | Medicare Part B Group Id |
| 10032052 | Other | Illinois | Blue Cross Blue Shield |
| CF3444 | Other | Illinois | Medicare Railroad |
| 013 | Medicaid | Illinois | |
| 024 | Medicaid | Illinois | |
| 018 | Medicaid | Illinois | |
| 019 | Medicaid | Illinois | |
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
109 California St, Carterville, Illinois or can
call to book an appointment on 618-985-8221.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.