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

Prairie Psychiatry, SC

Organization Psychiatry Physician · NPI 1760563688

Prairie Psychiatry, SC is a Psychiatry Physician in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

301 W Lincoln St Ste 106
Belleville, IL 62220-1901
Phone: (618) 235-1582
Fax: (618) 235-2473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (IL)

Record details

NPI number1760563688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Jung — Owner · (618) 235-1582
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address301 W Lincoln St, Suite 106, Belleville, IL 62220-1901

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