NPI Profile for SOUTHERN ILLINOIS PHYSICIAN SERVICES PC in BELLEVILLE, IL.
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry | |
Urology |
208800000X | 34 | Physician/Urology |
| NPI Number | 1508953746 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/09/2006 | |
| Last updated | 06/21/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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