OrganizationActive
Southern Illinois Center for Independent Living
NPI 1760622682 · Voluntary or Charitable Agency · Carbondale, IL
Provider details
- NPI number
- 1760622682
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Authorized official
- Bonnie Vaughn, Executive Director
Practice location
2135 W Ramada Ln
Carbondale, IL 62901-5326
Phone: (618) 457-3318
Fax: (618) 549-0132
Mailing address
2135 W Ramada Ln
Carbondale, IL 62901-5326
Registry dates
- Enumerated
- 2009-03-05
- Last updated
- 2009-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.