Southern Illinois Healthcare Foundation Inc

Specialty details in registry · Belleville, IL

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At a glance

180 S 3Rd St Ste 100, Belleville, IL 62220-1952

NPPES record updated Nov 3, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

180 S 3Rd St Ste 100
Belleville, IL 62220-1952

Professional details: NPI, taxonomy & registry record

NPI1356114029

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QF0400X
Enumeration date: Nov 3, 2023
Record updated: Nov 3, 2023

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X

Specialty details in registry

261QF0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

180 S 3Rd St Ste 100
Belleville, IL 62220-1952

Phone: (618) 332-0953

Mailing address

2041 GOOSE LAKE RD

SAUGET, IL 622062822

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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