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SI MEDICAL WEIGHT LOSS
NPI 1699142612
Clinic/Center - Primary Care in Belleville, IL

Active since August 25, 2015
123 LINCOLN PLACE CT, BELLEVILLE, IL 62221(618) 234-5677(618) 234-5679 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Si Medical Weight Loss NPPES

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

SI MEDICAL WEIGHT LOSS (NPI 1699142612) is a healthcare organization registered as a primary care in Belleville, Illinois and active in the NPI registry since August 2015. The organization lists Carol Elizabeth Candler, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1699142612
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSI MEDICAL WEIGHT LOSS
Location Address123 LINCOLN PLACE CTBelleville, IL 62221-5884
Mailing Address123 Lincoln Place CtBelleville, IL 62221-5884 · (618) 234-5677 · Fax (618) 234-5679
Phone(618) 234-5677
Fax(618) 234-5679
Organization SubpartNo
Authorized OfficialCarol Elizabeth CandlerNurse Practitioner · (618) 741-4454
Enumeration DateAugust 25, 2015
✔ NPI 1699142612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 209012741
123 LINCOLN PLACE CT, Belleville, IL 62221
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Other Providers at the Same Location NPPES 3

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

MR. SCOTT ANDREW HOLDEGRAVER L.P.T.
Physical Therapist
123 LINCOLN PLACE CT
BELLEVILLE, IL 62221
St. Clair County (618) 257-6900
DOCRX INC
Family Medicine
123 LINCOLN PLACE CT
BELLEVILLE, IL 62221
St. Clair County (618) 234-5677
TAMMY BARBOUR DNP APRN-CNS
Clinical Nurse Specialist
123 LINCOLN PLACE CT
BELLEVILLE, IL 62221
St. Clair County (618) 234-5677

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 Si Medical Weight Loss's NPI number?

The NPI number for Si Medical Weight Loss is 1699142612. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Si Medical Weight Loss located?

Si Medical Weight Loss is located at 123 Lincoln Place Ct, Belleville, IL 62221. The listed phone number is (618) 234-5677.

What is Si Medical Weight Loss's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Si Medical Weight Loss was last updated on August 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.