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

Southern Illinois Endoscopy

Organization Gastroenterology Physician · NPI 1083988380

Southern Illinois Endoscopy is a Gastroenterology Physician in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

2810 Frank Scott Pkwy Ste 716
Belleville, IL 62223-6802
Phone: (618) 355-0880
Fax: (618) 355-0881
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036.097852 (IL)

Record details

NPI number1083988380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vasantha Pai — President · (618) 355-0880
NPI enumeratedMarch 5, 2012
Last updated in NPPESMarch 5, 2012
Mailing address2810 Frank Scott Parkway, Suite 716, Belleville, IL 62223-6802

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