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 1811054935

Southern Illinois Healthcare Foundation, Inc is a Family Medicine Physician in East Saint Louis, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
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

2001 State St
East Saint Louis, IL 62205-1803
Phone: (618) 271-9191
Fax: (618) 271-9617
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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
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1811054935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Chief Operating Officer · (618) 332-0783
Other names State Street Center
NPI enumeratedJanuary 2, 2007
Last updated in NPPESOctober 30, 2008
Mailing address8080 State St, East Saint Louis, IL 62203-1808

Other providers in East Saint Louis