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

Southern Illinois Surgical Consultants SC

Organization Surgery Physician · NPI 1366540593

Southern Illinois Surgical Consultants SC is a Surgery Physician in Maryville, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2227 Vadalabene Dr Ste 300
Maryville, IL 62062-5823
Phone: (618) 288-7485
Fax: (618) 288-9086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1366540593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morris Kugler — President · (618) 288-7485
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 10, 2009
Mailing address2227 Vadalabene Dr, Ste 300, Maryville, IL 62062-5823

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