EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS NPI 1124153879

NPI Information

  • NPI: 1124153879
  • Provider Name: EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 1100 S 42ND ST
    MOUNT VERNON, IL
    ZIP 62864
  • Phone: (618) 244-6680

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NPI Details

EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS is a voluntary or charitable in Mount Vernon, IL. EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS NPI is 1124153879. The provider is registered as an organization entity type.

The provider's business location address is:

1100 S 42ND ST
MOUNT VERNON, IL
ZIP 62864-216
Phone: (618) 244-6680
Fax: (618) 244-6686

The provider's authorized official is Sara Stubblefield .
The authorized official title is Epilepsy Services Coordinator and has the following contact phone number (618) 244-6680.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or CharitableILLINOISYes

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: 11/21/2025

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