Organization · Type 2 NPI

ST Elizabeths Hospital of the Hospital Sisters of the Third Order

Addiction Medicine (Psychiatry & Neurology) Physician · Belleville, IL

NPI number 1194736728 Active

Practice location

211 S 3rd St
Belleville, IL 62220-1915

Call (618) 234-2120 Map

Fax (618) 222-4761

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Psychiatry & Neurology) Physician Primary	2084A0401X	0002345 (IL)
Physician Assistant	363A00000X	0002345 (IL)
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	041.334033 (IL)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

74 other providers at this address

NPI record

NPI: 1194736728
Entity type: Organization (Type 2)
Issued: Aug 10, 2006
Last updated: Jan 21, 2026
Status: Active

Other names

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St. Elizabeth's BHS Professional Services · doing business as
St. Elizabeth's BHS Professional Services · doing business as

Authorized official

Ann Bond
System Director-Government Reimb
(217) 814-4586

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194736728

ST Elizabeths Hospital of the Hospital Sisters of the Third Order's National Provider Identifier is 1194736728, issued on Aug 10, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Belleville, IL. The record was last updated on Jan 21, 2026.