SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE (NPI# 1518140326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518140326 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE |
| Practice Address |
601 James R Thompson Blvd Building D 2015 East Saint Louis IL 62201-1129 |
| Practice Telephone | 6184826959 |
| Practice Fax Number | 6184828311 |
| Mailing Telephone | 6184826959 |
| Mailing Fax Number | 6184828311 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | NANCY UFERT (DIRECTOR OF PURCHASING) |
| Authorized Official Telephone | 6186503255 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
601 JAMES R THOMPSON BLVD BUILDING D 2015 |
| City | EAST SAINT LOUIS |
| State | IL |
| Zip Code | 62201-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291830 | Linda Washington Omondi | Nurse Practitioner | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2006-09-01 |
| 1649622622 | Chontay L Mckay | Nurse Practitioner | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2016-07-01 |
| 1992153639 | Megan Degroot | Counselor | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2016-06-02 |
| 1104230168 | Board of Trustees of Southern Illinois University | Clinic/Center | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-06-18 |
| 1427470368 | Kim Wenona White | Clinical Nurse Specialist | 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201-1129 | 2014-01-13 |
| 1467753459 | Janet C Whitworth | Nurse Practitioner | 601 James R Thompson Blvd, Bldg D 2015, East Saint Louis, IL 62201-1129 | 2010-11-08 |
| 1215078928 | Theresa M Benassi-powles | Nurse Practitioner | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-02-08 |
| 1205976636 | Virginia L Behrhorst | Nurse Practitioner | 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201-1129 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593724 | Brighter Hope Inc | Clinic/Center | 1400 E. Broadway, East St Louis, IL 62201 | 2019-11-21 |
| 1659759918 | Olde Tyme Optical | Technician/Technologist | 100 N. 8th St E., Suite 264, E. St. Louis, IL 62201 | 2015-05-07 |
| 1689890006 | Carrie Ann Settlemoir | Chiropractor | 699 Rte. 203, Suite 101, E.st.louis, IL 62201 | 2007-04-17 |
| 1659417582 | Brett Irvin | Dentist | 1511 East Broadway, St Louis, IL 62201 | 2007-01-29 |
| 1386700771 | Laura A. Collier | Registered Nurse | 540 North 6th Street, East Saint Louis, IL 62201 | 2006-12-29 |
| 1366508053 | Yetzenia Aramis Arauz | Registered Nurse | 2568 North 41st Street, Fairmont City, IL 62201 | 2006-12-28 |
| 1255426466 | Hee Man Song | Specialist | 100 North 8th Street, Suite 232, East St Louis, IL 62201 | 2006-10-04 |
| 1821109737 | Richard Joseph Fleming | Physical Therapist | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62201 | 2006-08-31 |
| 1942510508 | Southern Illinois Health Care Foundation, Inc. | Family Medicine | 505 S 8th St, East Saint Louis, IL 62201 | 2010-10-18 |
| 1104157437 | United We Trust Home Care | Case Management | 327 Missouri Ave, Suite 300, East Saint Louis, IL 62201 | 2010-01-27 |
| Find all providers in zip 62201 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1841899788 | Neuro Drive Pt, Pllc | Clinic/Center | 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 | 2020-10-21 |
| 1952929119 | Gray Healthcare Consulting Pllc | Clinic/Center | 57 Northgate Rd, Riverside, IL 60546-1638 | 2020-07-13 |
| 1225664683 | Men's Clinic, Pllc | Clinic/Center | 2700 S River Rd Ste 309, Des Plaines, IL 60018-4101 | 2020-03-18 |
| 1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
| 1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | EAST SAINT LOUIS |
| Zip Code | 62201 |
Please comment or provide details below to improve the information on SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE.
| 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.