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

St Elizabeths Hospital of the Hospital Sisters of the Third Order

Organization Plastic Surgery Physician · NPI 1558556878

St Elizabeths Hospital of the Hospital Sisters of the Third Order is a Plastic Surgery Physician in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

2900 Frank Scott Pkwy W Ste 970
Belleville, IL 62223-5000
Phone: (618) 235-8500
Fax: (618) 222-4618
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 036118809 (IL)

Record details

NPI number1558556878
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Elizabeth's Hospital
Authorized official Mark Evard — Vp Of Revenue Cycle · (217) 492-9651
Other names New Dimensions Reconstructive And Cosmetic Surgery; New Dimensions Reconstructive And Cosmetic Surgery
NPI enumeratedSeptember 10, 2007
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address3051 Hollis Dr, Springfield, IL 62704-7450

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