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Contact Information

SOUTHERN ILLINOIS ASSOCIATES LLC
6805 STATE ROUTE 162 STE 201
MARYVILLE, IL62062-8530
 Phone: 618-288-5019
 Fax: 618-288-5059
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS ASSOCIATES LLC

NPI Number 1962427856
LBN Legal business name SOUTHERN ILLINOIS ASSOCIATES LLC
Authorized official SANJAY NIGAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2006
Last updated 04/06/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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