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

Physician Services Corporation of Southern Illinois SC

Organization Clinic/Center · NPI 1316271653

Physician Services Corporation of Southern Illinois SC is a Clinic/Center in Mount Vernon, Illinois. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1708 Jefferson Ave Ste 100
Mount Vernon, IL 62864-4309
Phone: (618) 241-1856
Fax: (618) 241-1857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316271653
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhysician Services Corporation of Southern Illinois SC
Authorized official Richard Huntington — Vp Financial Services · (618) 241-2204
Other names St. Marys Good Samaritan Medical Group Ultrasound
NPI enumeratedSeptember 18, 2009
Last updated in NPPESSeptember 18, 2009
Mailing address413 Main St, Mount Vernon, IL 62864-3649

Other providers in Mount Vernon