Linda Boulware

NURSE PRACTITIONER

2 Good Samaritan Way

Suite 235

Mount Vernon, IL 628642476

(618) 899-3970

**NPI:** 1063000669

**Med School:** OTHER

**Experience:** 6 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC

2 Good Samaritan Way, Suite 235
Mount Vernon, IL 628642476

Phone: (618) 899-3970

**Group ID:** 9234022567 | **Group Size:** 103 members

SPECIALIZED WOUND MANAGEMENT LLC

14805 N Outer 40 Rd, Suite 320
Chesterfield, MO 630176060

Phone: (636) 536-0183

**Group ID:** 4284628173 | **Group Size:** 3 members

SELECT PHYSICAL THERAPY HOLDINGS INC

1104 W Main St
Benton, IL 628121565

Phone: (618) 439-3399

**Group ID:** 9537076401 | **Group Size:** 1463 members

SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA Type: Hospital
400 NORTH PLEASANT AVENUE
Phone: (618) 436-8000
Medicare CCN: 140034 View Profile

GOOD SAMARITAN REGIONAL HLTH CENTER Type: Hospital
1 GOOD SAMARITAN WAY
Phone: (618) 899-2201
Medicare CCN: 140046 View Profile

DEACONESS ILLINOIS CROSSROADS Type: Hospital
8 DOCTORS PARK RD
Phone: (618) 244-5500
Medicare CCN: 140294 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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