Southern Illinois Healthcare Foundation, Inc.

NPI #1689739062 in Cahokia, Illinois

Provider Information

NPI Number
1689739062
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation, Inc.
Primary Specialty
Nurse Practitioner - School
Enumeration Date
Dec 26, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
800 RANGE LN
ZIP Code
62206-2022
Phone
(618) 337-3117

Authorized Official

Name
MR. LARRY MCCULLEY
Title
CHIEF OPERATING OFFICER
Phone
(618) 332-0783

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)
Nurse Practitioner - SchoolSchool

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