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

Si Medical, Inc

Organization Metabolic Nutrition Registered Dietitian · NPI 1659632602

Si Medical, Inc is a Metabolic Nutrition Registered Dietitian in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
4
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

1909 W Coolidge Ave
Marion, IL 62959-1097
Phone: (618) 997-5677
Fax: (618) 998-1451
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 209.005527 (IL)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence 164.003714 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 85.003452 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209.002243 (IL)

Record details

NPI number1659632602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Askari — Vice President · (618) 993-6641
NPI enumeratedJune 6, 2012
Last updated in NPPESMay 20, 2014
Mailing address1909 W Coolidge Ave, Marion, IL 62959-1097