SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC – NPI #1508953746
Internal Medicine

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.

SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC is a provider located in BELLEVILLE, IL. NPPES has assigned the NPI number 1508953746 to SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC on October 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC below.

NPI Profile for
SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC

NPI Number
1508953746
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC
Primary location
4600 MEMORIAL DRIVE
SUITE 340
BELLEVILLE, IL 62226
Phone: (618) 222-9999 Fax: (618) 222-9337
Mailing address
P.O. BOX 23620
BELLEVILLE, IL 62223-0620
Phone: (618) 222-9999 Fax: (618) 222-9337
Organization Subpart
No
Authorized Official
REBECCA TIBEREND
BILLING OFFICER SUPERVISOR
Phone: (618) 222-9999
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.