SOUTHERN ILLINOIS MOBILITY LLC NPI 1437606415

NPI Information

  • NPI: 1437606415
  • Provider Name: SOUTHERN ILLINOIS MOBILITY, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 1020 LYERLA LN
    ALTO PASS, IL
    ZIP 62905
  • Phone: (618) 521-2819

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NPI Details

SOUTHERN ILLINOIS MOBILITY, LLC is a customized equipment durable medical equipment medical supplies in Alto Pass, IL. SOUTHERN ILLINOIS MOBILITY, LLC NPI is 1437606415. The provider is registered as an organization entity type.

The provider's business location address is:

1020 LYERLA LN
ALTO PASS, IL
ZIP 62905-015
Phone: (618) 521-2819

The provider's authorized official is Kip Lyerla .
The authorized official title is President and has the following contact phone number (618) 521-2819.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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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