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

Physician Services Corporation of Southern Illinois Inc

Organization Family Medicine Physician · NPI 1831101807

Physician Services Corporation of Southern Illinois Inc is a Family Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
9
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

4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156
Phone: (618) 899-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Rural Health Clinic/Center Taxonomy 261QR1300X (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1831101807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deland Evischi — Vp Finance Smgsmg · (618) 899-1040
Other names Ssm Health Medical Group
NPI enumeratedAugust 11, 2006
Last updated in NPPESAugust 25, 2015
Mailing address4218 Lincolnshire Dr, Mount Vernon, IL 62864-2156

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