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

Physician Services Corporation of Southern Illinois

Organization Surgery Physician · NPI 1831337450

Physician Services Corporation of Southern Illinois is a Surgery Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156
Phone: (618) 532-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036113387 (IL)

Record details

NPI number1831337450
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhyscian Services Corporation of Southern Illinois
Authorized official Tammy Simonton — Billing Mng · (618) 436-6267
Other names St Marys Good Samaritan Medical Group
NPI enumeratedFebruary 4, 2009
Last updated in NPPESFebruary 4, 2009
Mailing address4218 Lincolnshire Dr, Po Box 968, Mount Vernon, IL 62864-2156

Other providers in Mount Vernon