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SOUTHERN ILLINOIS NEUROLOGIC INSTITUTE
NPI 1629190657
Specialist in Belleville, IL

Active since April 03, 2007
100 N JACKSON ST, BELLEVILLE, IL 62220(618) 239-6660(618) 239-6662 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Illinois Neurologic Institute NPPES

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

SOUTHERN ILLINOIS NEUROLOGIC INSTITUTE (NPI 1629190657) is a healthcare organization registered as a specialist in Belleville, Illinois and active in the NPI registry since April 2007. The organization lists Guy Timothy Burrows, Owner, as its authorized official.

NPPES Registry Identity

NPI1629190657
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN ILLINOIS NEUROLOGIC INSTITUTE
Location Address100 N JACKSON STBelleville, IL 62220-1427
Mailing Address100 N Jackson StBelleville, IL 62220-1427 · (618) 239-6660 · Fax (618) 239-6662
Phone(618) 239-6660
Fax(618) 239-6662
Organization SubpartNo
Authorized OfficialGuy Timothy BurrowsOwner · (618) 239-6660
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1629190657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 36078383
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.

100 N JACKSON ST, Belleville, IL 62220
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Other Identifiers 4

Medicare PIN396510IL
Other130015602IL · Railroad Medicare
Medicare UPING37723IL
Other08207706IL · Blue Cross Blue Shield

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 Neurologic Institute's NPI number?

The NPI number for Southern Illinois Neurologic Institute is 1629190657. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Southern Illinois Neurologic Institute located?

Southern Illinois Neurologic Institute is located at 100 N Jackson St, Belleville, IL 62220. The listed phone number is (618) 239-6660.

What is Southern Illinois Neurologic Institute'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 Neurologic Institute was last updated on July 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.