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

Organization Gastroenterology Physician · NPI 1902467798

Southern Illinois Gastroenterology LLC is a Gastroenterology Physician in Highland, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1212 Broadway
Highland, IL 62249-1960
Phone: (618) 391-5070
Fax: (618) 288-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1902467798
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edmundo Rodriguez-Frias — Owner · (618) 391-5070
NPI enumeratedJune 24, 2019
Last updated in NPPESJune 24, 2019
Mailing address1212 Broadway, Highland, IL 62249-1960

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