OrganizationActive
The Carbondale Clinic
NPI 1043378565 · Multi-Specialty Clinic/Center · Carbondale, IL
Provider details
- NPI number
- 1043378565
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Allan Norman, Chief Executive Officer(618) 457-5200
- License
- 042-000266 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2601 W Main St
Carbondale, IL 62901-1031
Phone: (618) 457-5200
Fax: (618) 549-5128
Approximate (ZIP-level) locationGet directions
Mailing address
2601 W Main St
Carbondale, IL 62901-1031
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2008-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.