St Elizabeths Hospital of the Hospital Sisters of the Third Order
St Elizabeths Hospital of the Hospital Sisters of the Third Order is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Belleville, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
301 W Lincoln St Ste 210Belleville, IL 62220-1901
Phone: (618) 641-5800
Fax: (618) 641-5825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X |
|---|
Record details
| NPI number | 1033132030 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Evard — Vp Of Revenue Cycle · (217) 492-9651 |
| Other names | Illini Sports Medicine; Illini Sports Medicine |
| NPI enumerated | July 25, 2006 |
| Last updated in NPPES | October 31, 2024 |
| Certification date | October 31, 2024 |
| Mailing address | 3051 Hollis Dr, Springfield, IL 62704-7450 |