St. Elizabeth's BHS Professional Services – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1194736728
Addiction Medicine (Psychiatry & Neurology) Physician
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Provider Addresses for St. Elizabeth's BHS Professional Services
3051 HOLLIS DR
SPRINGFIELD, IL 627047450
Phone: (618) 234-2120
Fax: (618) 222-4761
Type: Mailing
211, South 3rd Street, Belleville, Saint Clair County, Illinois, 62220, United States
BELLEVILLE, IL 622201915
Phone: (618) 234-2120
Fax: (618) 222-4761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-12-12
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62704)
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