Illini Sports Medicine

LBN: St. Elizabeth Hospital
Illini Sports Medicine is an health care organization with primary practice located at 301 W Lincoln St Suite 210, Belleville IL 62220-1901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. St. Elizabeth Hospital can be contacted via phone (618) 641-5800, or through Evard, Mark D via phone (217) 492-9651.

Contact Information

Primary practice address
301 W Lincoln St Suite 210 Belleville IL 62220-1901
Phone: (618) 641-5800
Fax: (618) 641-5825
Website:
Map and Directions
Authorized official contact:
Name: Evard, Mark D
Phone: (217) 492-9651

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X

Profile Details

NPI number 1033132030
LBN Legal business name St. Elizabeth Hospital
DBA Doing business as Illini Sports Medicine
Authorized official Evard, Mark D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Sep 19th, 2023 - about 2 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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