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

Southern Illinois Physician Services, PC

Organization Gastroenterology Physician · NPI 1508953746

Southern Illinois Physician Services, PC is a Gastroenterology Physician in Belleville, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 Memorial Dr Ste 340
Belleville, IL 62226
Phone: (618) 222-9999
Fax: (618) 222-9337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Gynecology Physician Taxonomy 207VG0400X
Psychiatry Physician Taxonomy 2084P0800X
Urology Physician Taxonomy 208800000X

Record details

NPI number1508953746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Tiberend — Billing Officer Supervisor · (618) 222-9999
NPI enumeratedOctober 9, 2006
Last updated in NPPESJune 21, 2018
Mailing addressP.O. Box 23620, Belleville, IL 62223-0620

Other providers in Belleville