SOUTHERN ILLINOIS UROLOGY
NPI 1417144726
Specialist in Marion, IL

Active since October 01, 2007
3401 HEARTLAND ST, MARION, IL 62959(618) 998-8884(618) 998-8810 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southern Illinois Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ILLINOIS UROLOGY (NPI 1417144726) is a healthcare organization registered as a specialist in Marion, Illinois and active in the NPI registry since October 2007. The organization lists Robert Lawrence Hatchett, Owner, as its authorized official.

NPPES Registry Identity

NPI1417144726
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN ILLINOIS UROLOGY
Location Address3401 HEARTLAND STMarion, IL 62959-6393
Mailing Address3401 Heartland StMarion, IL 62959-6393 · (618) 998-8884 · Fax (618) 998-8810
Fax(618) 998-8810
Organization SubpartNo
Authorized OfficialRobert Lawrence HatchettOwner · (618) 998-8884
Enumeration DateOctober 1, 2007
NPI 1417144726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 36109353
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3401 HEARTLAND ST, Marion, IL 62959

Other Identifiers 1

Medicare UPINC84396IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
3401 HEARTLAND ST
MARION, IL 62959
Urology
3401 HEARTLAND ST
MARION, IL 62959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Urology's NPI number?

The NPI number for Southern Illinois Urology is 1417144726. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Southern Illinois Urology located?

Southern Illinois Urology is located at 3401 Heartland St, Marion, IL 62959. The listed phone number is (618) 998-8884.

What is Southern Illinois Urology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Urology was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.