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

Maryville Womens Center Ssr PC

Organization Family Medicine Physician · NPI 1427416494

Maryville Womens Center Ssr PC is a Family Medicine Physician in Maryville, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2016 Vadalabene Dr Ste B
Maryville, IL 62062-6901
Phone: (618) 288-2970
Fax: (618) 288-3572
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1427416494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Sanford — Owner · (618) 288-2970
NPI enumeratedFebruary 5, 2016
Last updated in NPPESFebruary 5, 2016
Mailing address2016 Vadalabene Dr, Suite B, Maryville, IL 62062-6901

Other providers in Maryville