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

Physician Services Corporation of Southern Illinois Inc

Organization Non-Pharmacy Dispensing Site · NPI 1154725976

Physician Services Corporation of Southern Illinois Inc is a Non-Pharmacy Dispensing Site in Mount Vernon, Illinois. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

602 S 42nd St Ste B
Mount Vernon, IL 62864-6264
Phone: (618) 899-3278
Fax: (618) 242-1853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1154725976
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deland Evischi — Vp Finance Smgsmg · (618) 899-1040
Other names St. Mary'S Good Samaritan Medical Group
NPI enumeratedOctober 22, 2014
Last updated in NPPESOctober 22, 2014
Mailing address602 S 42nd St Ste B, Mount Vernon, IL 62864-6264