Ssm Health Medical Group

LBN: Physician Services Corporation Of Southern Illinois Inc.
Ssm Health Medical Group is an health care organization with primary practice located at 4218 Lincolnshire Dr , Mount Vernon IL 62864-2156. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Physician Services Corporation Of Southern Illinois Inc. can be contacted via phone (618) 899-3600, or through Evischi, Deland via phone (618) 899-1040.

Contact Information

Primary practice address
4218 Lincolnshire Dr Mount Vernon IL 62864-2156
Phone: (618) 899-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evischi, Deland
Phone: (618) 899-1040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1831101807
LBN Legal business name Physician Services Corporation Of Southern Illinois Inc.
DBA Doing business as Ssm Health Medical Group
Authorized official Evischi, Deland
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 25th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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