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 1215320460

Physician Services Corporation of Southern Illinois Inc is a Non-Pharmacy Dispensing Site in Centralia, Illinois. Registered with an NPI since 2015.

In the registry since
2015
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

1003 E McCord St
Centralia, IL 62801-3345
Phone: (618) 436-6633
Fax: (618) 242-1853
Show map & directions

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 number1215320460
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 enumeratedMarch 12, 2015
Last updated in NPPESMarch 12, 2015
Mailing address1003 E McCord St, Centralia, IL 62801-3345