Southern Illinois Health Care Foundation, Inc.
NPI #1548156656 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1548156656
- Entity Type
- Organization
- Organization Name
- Southern Illinois Health Care Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 16, 2025
- Last Updated
- Sep 8, 2025
Practice Location
- Address
- 101 JACKIE JOYNER KERSEE CIR
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62204-1742
- Phone
- (618) 332-9484
Authorized Official
- Name
- LARRY A MCCULLEY
- Title
- CEO
- Phone
- (618) 920-9484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Counselor |
| Family Medicine |
| Nurse Practitioner |
| Physician Assistant |
| Counselor - Professional — Professional |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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