Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
School Nurse Practitioner · Cahokia, IL
NPI number
1689739062
Active
Practice location
800 Range Ln
Cahokia, IL 62206-2022
Fax (618) 337-3122
Mailing address
8080 State St
East St. Louis, IL 62203-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| School Nurse Practitioner Primary | 363LS0200X | None listed |
School Nurse Practitioner: Definition to come...
About NPI 1689739062
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1689739062, issued on Dec 26, 2006. The primary taxonomy on file is School Nurse Practitioner (363LS0200X), and the practice location is in Cahokia, IL. The record was last updated on Sep 11, 2025.