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

Southern Illinois Heart and Vascular Center, PC

Organization Cardiovascular Disease Physician · NPI 1497984389

Southern Illinois Heart and Vascular Center, PC is a Cardiovascular Disease Physician in Mt Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4115 S Water Tower Pl
Mt Vernon, IL 62864-6293
Phone: (941) 735-8419
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036123701 (IL)

Record details

NPI number1497984389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadi Shamsham — President · (941) 735-8419
NPI enumeratedJuly 13, 2009
Last updated in NPPESJuly 13, 2009
Mailing addressP.O.Box 1003, Mt. Vernon, IL 62864-6293