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SOUTHERN ILLINOIS HEART AND VASCULAR CENTER, PC
NPI 1497984389
Internal Medicine - Cardiovascular Disease in Mt. Vernon, IL

Active since July 13, 2009
4115 SOUTH WATER TOWER PLACE, MT. VERNON, IL 62864(941) 735-8419 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Illinois Heart And Vascular Center, Pc NPPES

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

SOUTHERN ILLINOIS HEART AND VASCULAR CENTER, PC (NPI 1497984389) is a healthcare organization registered as a cardiovascular disease in Mt. Vernon, Illinois and active in the NPI registry since July 2009. The organization lists Fadi Michel Shamsham, President, as its authorized official.

NPPES Registry Identity

NPI1497984389
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHERN ILLINOIS HEART AND VASCULAR CENTER, PC
Location Address4115 SOUTH WATER TOWER PLACEMt. Vernon, IL 62864-6293
Mailing AddressP.o.box 1003Mt. Vernon, IL 62864-6293
Phone(941) 735-8419
Organization SubpartNo
Authorized OfficialFadi Michel ShamshamPresident · (941) 735-8419
Enumeration DateJuly 13, 2009
✔ NPI 1497984389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036123701
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4115 SOUTH WATER TOWER PLACE, Mt. Vernon, IL 62864
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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

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 Heart And Vascular Center, PC's NPI number?

The NPI number for Southern Illinois Heart And Vascular Center, PC is 1497984389. It was assigned to this organization in the NPPES registry on July 13, 2009.

Where is Southern Illinois Heart And Vascular Center, PC located?

Southern Illinois Heart And Vascular Center, PC is located at 4115 South Water Tower Place, Mt. Vernon, IL 62864. The listed phone number is (941) 735-8419.

What is Southern Illinois Heart And Vascular Center, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Heart And Vascular Center, PC was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.