EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS (NPI# 1124153879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124153879 |
| Entity Type | Organization |
| Organization Name | EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS |
| Practice Address |
1100 S 42nd St Mount Vernon IL 62864-6216 |
| Practice Telephone | 6182446680 |
| Practice Fax Number | 6182446686 |
| Mailing Telephone | 6182446680 |
| Mailing Fax Number | 6182446686 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SARA STUBBLEFIELD (EPILEPSY SERVICES COORDINATOR) |
| Authorized Official Telephone | 6182446680 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | IL | Agencies |
| Street Address |
1100 S 42ND ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295755114 | Cheryl L Emmons | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2006-07-21 |
| 1871719476 | Cheryl Emmons Mdsc | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407034747 | Posey County Council On Aging | Voluntary or Charitable | 611 W 8th St, Mount Vernon, IN 47620-1641 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948784 | The Hope Through Help Center, Inc. | Voluntary or Charitable | 8851 S Eggleston Ave, Chicago, IL 60620-2117 | 2020-06-30 |
| 1386292779 | Mindful Living & Care, LLC | Voluntary or Charitable | 8204 Coop Ave, Joliet, IL 60431-5400 | 2019-08-28 |
| 1043867112 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W. Ramada Lane, Carbondale, IL 62901-5326 | 2019-08-22 |
| 1114580586 | Children and Family Comprehensive Health Outreach, Inc. | Voluntary or Charitable | 7401 Blackburn Ave Apt 202, Downers Grove, IL 60516-4144 | 2019-04-20 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1720447667 | Neptune | Voluntary or Charitable | 2189 N Il Route 83 Ste 220, Round Lake Beach, IL 60073-4906 | 2016-02-21 |
| 1366817017 | Englewood Community Connection Outreach | Voluntary or Charitable | 7326 S Exchange Ave, Chicago, IL 60649-3408 | 2015-12-07 |
| 1508235060 | Southeastern Il Agency On Aging, Inc | Voluntary or Charitable | 516 N Market St, Mount Carmel, IL 62863-1558 | 2015-09-15 |
| 1043687148 | Agesmart Community Resources | Voluntary or Charitable | 2365 Country Rd, Belleville, IL 62221-2571 | 2015-08-25 |
| 1265812044 | All Saints Center Inc. | Voluntary or Charitable | 1329 Rosemary Dr, Bolingbrook, IL 60490-4940 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on EPILEPSY FOUNDATION OF SOUTHERN ILLINOIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.