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SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC
NPI 1508953746
Internal Medicine - Gastroenterology in Belleville, IL

Active since October 09, 2006
4600 MEMORIAL DRIVE, SUITE 340, BELLEVILLE, IL 62226(618) 222-9999(618) 222-9337 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Illinois Physician Services, Pc NPPES

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

SOUTHERN ILLINOIS PHYSICIAN SERVICES, PC (NPI 1508953746) is a healthcare organization registered as a gastroenterology in Belleville, Illinois and active in the NPI registry since October 2006. The organization lists Rebecca J Tiberend, Billing Officer Supervisor, as its authorized official.

NPPES Registry Identity

NPI1508953746
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTHERN ILLINOIS PHYSICIAN SERVICES, PC
Location Address4600 MEMORIAL DRIVE, SUITE 340Belleville, IL 62226
Mailing AddressP.o. Box 23620Belleville, IL 62223-0620 · (618) 222-9999 · Fax (618) 222-9337
Phone(618) 222-9999
Fax(618) 222-9337
Organization SubpartNo
Authorized OfficialRebecca J TiberendBilling Officer Supervisor · (618) 222-9999
Enumeration DateOctober 9, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1508953746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedUrologyTaxonomy 208800000X
4600 MEMORIAL DRIVE, Belleville, IL 62226
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

PC ASSOCIATES ,LLC
Family Medicine
4600 MEMORIAL DRIVE, STE. 220
BELLEVILLE, IL 62226
St. Clair County (618) 235-6191
AMANULLAH KHAN PATHAN MD
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DRIVE, MEDICAL CENTER 2 SUITE 420
BELLEVEILLE, IL 62226
St. Clair County (618) 239-3356
CA GROUP, LLC
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DRIVE, SUITE W-1
BELLEVILLE, IL 62226
St. Clair County (616) 233-3066
SOUTHERN ILLINOIS INTERNAL MEDICINE LTD
Internal Medicine
4600 MEMORIAL DRIVE, SUITE 310
BELLEVILLE, IL 62226
St. Clair County (618) 235-8720
ORTHOPEDIC AND SPORTS MEDICINE PHYSICIANS, LTD
Specialist
4600 MEMORIAL DRIVE, SUITE 200
BELLEVILLE, IL 62226
St. Clair County (618) 234-9884
OB PRACTICE, LLC
Obstetrics & Gynecology
4600 MEMORIAL DRIVE, STE. 400
BELLEVILLE, IL 62226
St. Clair County (618) 234-2390
CA GROUP LLC
Internal Medicine (Cardiovascular Disease)
4600 MEMORIAL DRIVE, STE. W-1
BELLEVILLE, IL 62226
St. Clair County (618) 233-3066

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 Physician Services, PC's NPI number?

The NPI number for Southern Illinois Physician Services, PC is 1508953746. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Southern Illinois Physician Services, PC located?

Southern Illinois Physician Services, PC is located at 4600 Memorial Drive Suite 340, Belleville, IL 62226. The listed phone number is (618) 222-9999.

What is Southern Illinois Physician Services, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Physician Services, PC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.