Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · East St. Louis, IL

NPI number 1306902945 Active

Practice location

6010 Bond Ave
East St. Louis, IL 62207-2328

Call (618) 337-8153 Map

Fax (618) 337-8905

Mailing address

8080 State St
East St. Louis, IL 62203-1808

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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About NPI 1306902945

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1306902945, issued on Dec 28, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East St. Louis, IL. The record was last updated on Oct 30, 2008.