Provider Type Icon

HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS PC NPI 1023034618


NPI Information

NPI: 1023034618
Provider Name: HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4600 MEMORIAL DR
SUITE 100
BELLEVILLE, IL
ZIP 62226
Phone: (618) 222-9999
Get Directions

HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC is a family medicine in Belleville, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC NPI is 1023034618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4600 MEMORIAL DR
SUITE 100
BELLEVILLE, IL
ZIP 62226-366
Phone: (618) 222-9999
Fax: (618) 222-9337

The provider's authorized official is James V Vest .
The authorized official title is President and has the following contact phone number (618) 222-9999.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 5/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036096642ILLINOISNo
2207Q00000XFamily Medicine036096627ILLINOISNo
3207R00000XInternal Medicine036087648ILLINOISNo
4207R00000XInternal Medicine036092347ILLINOISNo
5207R00000XInternal Medicine036093757ILLINOISNo
6207R00000XInternal Medicine036108140ILLINOISNo
7207R00000XInternal Medicine036106952ILLINOISNo
8207R00000XInternal Medicine036113541ILLINOISNo
9207R00000XInternal Medicine036087011ILLINOISNo
10207R00000XInternal Medicine036114966ILLINOISNo
11207RP1001XInternal MedicinePulmonary Disease036053136ILLINOISNo
12207RP1001XInternal MedicinePulmonary Disease036091795ILLINOISNo
13207RP1001XInternal MedicinePulmonary Disease036114207ILLINOISNo
14207RS0010XInternal MedicineSports Medicine036114259ILLINOISNo
15207Q00000XFamily Medicine036095025ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1546390MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2208438MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
308221043OTHERILLINOISBCBS OF ILLINOIS ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.