SI MEDICAL INC. NPI 1659632602

NPI Information

  • NPI: 1659632602
  • Provider Name: SI MEDICAL, INC.
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1909 W COOLIDGE AVE
    MARION, IL
    ZIP 62959
  • Phone: (618) 997-5677

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NPI Details

SI MEDICAL, INC. is a primary care nurse practitioner in Marion, IL. SI MEDICAL, INC. NPI is 1659632602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1909 W COOLIDGE AVE
MARION, IL
ZIP 62959-097
Phone: (618) 997-5677
Fax: (618) 998-1451

The provider's authorized official is Tracy Askari .
The authorized official title is Vice President and has the following contact phone number (618) 993-6641.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 5/20/2014.

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
1133VN1006XDietitian, RegisteredNutrition, Metabolic164.003714ILLINOISNo
2363AM0700XPhysician AssistantMedical85.003452ILLINOISNo
3363LP2300XNurse PractitionerPrimary Care209.002243ILLINOISNo
4363LP2300XNurse PractitionerPrimary Care209.005527ILLINOISYes

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: 3/30/2025

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