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 1306902945

Southern Illinois Healthcare Foundation, Inc is a Family Medicine Physician in East Saint Louis, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7
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

6010 Bond Ave
East Saint Louis, IL 62207-2328
Phone: (618) 337-8153
Fax: (618) 337-8905
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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
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Otolaryngology Physician Taxonomy 207Y00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1306902945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Chief Operating Officer · (618) 332-0694
Other names Adult Care Center
NPI enumeratedDecember 28, 2006
Last updated in NPPESOctober 30, 2008
Mailing address8080 State St, East Saint Louis, IL 62203-1808

Other providers in East Saint Louis