SOUTHERN ILLINOIS CENTER FOR HEALTH – Family Medicine Physician, NPI 1104988971

SOUTHERN ILLINOIS CENTER FOR HEALTH is a healthcare provider. based in Waterloo, Illinois. specializing in Family Medicine Physician. The NPI Number for SOUTHERN ILLINOIS CENTER FOR HEALTH is 1104988971

Main info

Organization
Name
SOUTHERN ILLINOIS CENTER FOR HEALTH
NPI
1104988971
Phone
(618) 939-3939
Address
509 HAMACHER ST
Authorized Official
JUDY REBHOLZ OFFICE MANAGER
Enumeration Date
15 December 2006
Last Update Date
20 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTHERN ILLINOIS CENTER FOR HEALTH

  • 509, Hamacher Street, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622981592

    Phone: (618) 939-3939

    Fax: (618) 939-3941

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62298)

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Reviews

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Frequently asked questions

What is SOUTHERN ILLINOIS CENTER FOR HEALTH's NPI number?
SOUTHERN ILLINOIS CENTER FOR HEALTH's NPI is 1104988971 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SOUTHERN ILLINOIS CENTER FOR HEALTH?
For scheduling context, SOUTHERN ILLINOIS CENTER FOR HEALTH is shown as active in the registry.
What kind of doctor is SOUTHERN ILLINOIS CENTER FOR HEALTH?
SOUTHERN ILLINOIS CENTER FOR HEALTH is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOUTHERN ILLINOIS CENTER FOR HEALTH?
Travel planning: use Waterloo, Illinois as the reference point for SOUTHERN ILLINOIS CENTER FOR HEALTH, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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