Physician Services Corp of Southern Illinois
Physician Services Corp of Southern Illinois is an Obstetrics & Gynecology Physician in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
430 N Pleasant AveCentralia, IL 62801-3006
Phone: (618) 532-9350
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 036116791 (IL) |
|---|---|
| Rural Health Clinic/Center | Taxonomy 261QR1300X · Licence 002642 (IL) |
Record details
| NPI number | 1740421536 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Physician Services Corp of Southern Illinois |
| Authorized official | Tammy Simonton — Mng · (618) 436-6267 |
| Other names | St Marys Good Samaritan Medical Group |
| NPI enumerated | March 9, 2009 |
| Last updated in NPPES | March 12, 2009 |
| Mailing address | 430 N Pleasant Ave, Centralia, IL 62801-3006 |