Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

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

NPI number 1811054935 Active

Practice location

2001 State St
East St. Louis, IL 62205-1803

Call (618) 271-9191 Map

Fax (618) 271-9617

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Nurse Practitioner 363L00000XNone listed

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

13 other providers at this address

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About NPI 1811054935

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1811054935, issued on Jan 2, 2007. 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.