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Contact Information

SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC
4600 MEMORIAL DRIVE
SUITE 340
BELLEVILLE, IL62226
 Phone: 618-222-9999
 Fax: 618-222-9337
 Website:
 

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
Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS PHYSICIAN SERVICES PC · (Female)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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