Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastroenterology Care of Southern Illinois, LLC

Organization Gastroenterology Physician · NPI 1609914183

Gastroenterology Care of Southern Illinois, LLC is a Gastroenterology Physician in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3301 Patriot Ct
Herrin, IL 62948-3782
Phone: (618) 998-8885
Fax: (618) 998-8886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036-073571 (IL)

Record details

NPI number1609914183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sushilkunar Tibrewala — President · (618) 998-8885
Other names Sushilkumar Tibrewala, Md; Sushilkumar Tibrewala, Md
NPI enumeratedFebruary 4, 2007
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address24 Pine Lake Dr, Carbondale, IL 62901-5410

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