National Provider Identifier Database

SOUTHERN ILLINOIS PHYSICIAN SERVICES PC
Gastroenterology

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.


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
* Gastroenterology 207RG0100X
Gynecology 207VG0400X
Psychiatry 2084P0800X
Urology 208800000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC

NPI Number 1508953746
Legal business name
LBN
SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC
Authorized official REBECCA TIBEREND - (BILLING OFFICER SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 10/09/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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