SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC – Gastroenterology Physician, NPI 1508953746

SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC is a healthcare provider. based in Belleville, Illinois. specializing in Gastroenterology Physician. The NPI Number for SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC is 1508953746

Main info

Organization
Name
SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC
NPI
1508953746
Phone
(618) 222-9999
Address
P.O. BOX 23620
Authorized Official
REBECCA J TIBEREND BILLING OFFICER SUPERVISOR
Enumeration Date
9 October 2006
Last Update Date
21 June 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC

  • P.O. BOX 23620

    BELLEVILLE, IL 622230620

    Phone: (618) 222-9999

    Fax: (618) 222-9337

    Type: Mailing

  • 4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    SUITE 340

    BELLEVILLE, IL 62226

    Phone: (618) 222-9999

    Fax: (618) 222-9337

    Type: Location

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.

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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 62223)

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Reviews

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Frequently asked questions

What is the registry number for SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC?
The registry entry for SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC shows NPI 1508953746.
Is SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC's NPI status active today?
Active status means SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC's NPI record is not deactivated in the public file.
What type of care does SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC provide?
SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC's profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC tied to Belleville, Illinois?
If you are local to Belleville, Illinois, SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC may be relevant to your search.
Who maintains SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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