Southern Illinois Healthcare Foundation, INC
NPI #1275561797 in Belleville, Illinois
Provider Information
- NPI Number
- 1275561797
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Nov 3, 2011
Practice Location
- Address
- 7210 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-3038
- Phone
- (618) 394-0712
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Obstetrics & Gynecology |
| Pediatrics |
| Dentist |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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