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SOUTHERN ILLINOIS GASTROENTEROLOGY LLC
NPI 1902467798
Internal Medicine - Gastroenterology in Highland, IL

Active since June 24, 2019
1212 BROADWAY, HIGHLAND, IL 62249(618) 391-5070(618) 288-1872 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Illinois Gastroenterology Llc NPPES

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

SOUTHERN ILLINOIS GASTROENTEROLOGY LLC (NPI 1902467798) is a healthcare organization registered as a gastroenterology in Highland, Illinois and active in the NPI registry since June 2019. The organization lists Edmundo A Rodriguez-frias, Owner, as its authorized official.

NPPES Registry Identity

NPI1902467798
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTHERN ILLINOIS GASTROENTEROLOGY LLC
Location Address1212 BROADWAYHighland, IL 62249-1960
Mailing Address1212 BroadwayHighland, IL 62249-1960 · (618) 391-5070 · Fax (618) 288-1872
Phone(618) 391-5070
Fax(618) 288-1872
Organization SubpartNo
Authorized OfficialEdmundo A Rodriguez-friasOwner · (618) 391-5070
Enumeration DateJune 24, 2019
✔ NPI 1902467798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1212 BROADWAY, Highland, IL 62249
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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

Other Providers at the Same Location NPPES 13

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

LALIT B CHOKSI M.D.
Surgery
1212 BROADWAY, SUITE B
HIGHLAND, IL 62249
Madison County (618) 654-8100
DR. JOSHUA DWAINE LENTZ MD
Family Medicine
1212 BROADWAY
HIGHLAND, IL 62249
Madison County (618) 651-0022
EXCEL CARE ORTHOPEDICS, INC.
Orthopaedic Surgery
1212 BROADWAY
HIGHLAND, IL 62249
Madison County (314) 355-6070
DANIELLE L. BOGUE FNP-BC
Nurse Practitioner (Family)
1212 BROADWAY
HIGHLAND, IL 62249
Madison County (618) 651-0022
XEREX LLC
Legal Medicine
1212 BROADWAY, STE C
HIGHLAND, IL 62249
Madison County (618) 654-8100
HIGHLAND PHYSICIANS LTD
Physician Assistant
1212 BROADWAY
HIGHLAND, IL 62249
Madison County (618) 654-9851
ALEXIS MILLER
Physical Therapy Assistant
1212 BROADWAY
HIGHLAND, IL 62249
Madison County (618) 651-0022
TRISHA I. RICHARDS PA-C
Physician Assistant (Medical)
1212 BROADWAY
HIGHLAND, IL 62249
Madison County (618) 654-9851

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 Gastroenterology LLC's NPI number?

The NPI number for Southern Illinois Gastroenterology LLC is 1902467798. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is Southern Illinois Gastroenterology LLC located?

Southern Illinois Gastroenterology LLC is located at 1212 Broadway, Highland, IL 62249. The listed phone number is (618) 391-5070.

What is Southern Illinois Gastroenterology LLC'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 Gastroenterology LLC was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.