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

Southern Illinois Healthcare Foundation, Inc

Organization Family Medicine Physician · NPI 1255880647

Southern Illinois Healthcare Foundation, Inc is a Family Medicine Physician in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2
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

2900 Frank Scott Pkwy W Ste 980
Belleville, IL 62223-5000
Phone: (618) 397-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)

Record details

NPI number1255880647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Ceo · (618) 332-0694
Other names Illini Family Medicine
NPI enumeratedSeptember 26, 2016
Last updated in NPPESSeptember 26, 2016
Mailing address2041 Goose Lake Rd, Sauget, IL 62206-2822

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