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

Southern Illinois Primary Care Associates, PC

Organization Family Medicine Physician · NPI 1912904574

Southern Illinois Primary Care Associates, PC is a Family Medicine Physician in Fairfield, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
6
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

209 NW 11th St
Fairfield, IL 62837-1218
Phone: (618) 842-4470
Fax: (618) 842-3437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 060005614 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 060005614 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 060005614 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 060005614 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 060005614 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 060005614 (IL)

Record details

NPI number1912904574
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Illinois Primary Care Associates, PC
Authorized official Cathy Harte — Director Of Business/Corp Secretary · (618) 842-4470
NPI enumeratedJune 28, 2005
Last updated in NPPESJanuary 14, 2011
Mailing address209 Nw 11th St, Fairfield, IL 62837-1218

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