Southern Illinois Physician Services, PC
NPI #1508953746 in Belleville, Illinois
Provider Information
- NPI Number
- 1508953746
- Entity Type
- Organization
- Organization Name
- Southern Illinois Physician Services, PC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Oct 9, 2006
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 4600 MEMORIAL DRIVE
- Address 2
- SUITE 340
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226
- Phone
- (618) 222-9999
Authorized Official
- Name
- REBECCA J TIBEREND
- Title
- BILLING OFFICER SUPERVISOR
- Phone
- (618) 222-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Urology |
| Internal Medicine - Gastroenterology — Gastroenterology |
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