SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. (NPI# 1760534945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760534945 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD. |
| Practice Address |
340 W Lincoln St Ste 300 Belleville IL 62220-1900 |
| Practice Telephone | 6182354898 |
| Practice Fax Number | 6182359573 |
| Mailing Telephone | 6182354898 |
| Mailing Fax Number | 6182359573 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBORAH J RAU (OFFICE MANAGER) |
| Authorized Official Telephone | 6182354898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BC BS PENNSYLVANIA | 645659 | 01 |
| IL | TRICARE | L013062 | 01 |
| IL | BLACK LUNG | 223571 | 01 |
| IL | AETNA | 4466076 | 01 |
| IL | BC BS ILLINOIS | 8215136 | 01 |
| Street Address |
340 W LINCOLN ST STE 300 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649321183 | Ventrapragada S Mohan | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
| 1780735308 | Barbara Ann Sudholt | Internal Medicine | 340 W Lincoln St Ste 300, Belleville, IL 62220-1900 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962946699 | Ginette Ngomatip | Specialist | 89 Moore Pl, Belleville, NJ 07109-1941 | 2016-12-14 |
| 1851688428 | Medistat | Specialist | 8511 Oakville Waltz Rd, Belleville, MI 48111-9504 | 2011-07-05 |
| 1275825382 | Jennie R Cadet | Specialist | 79 Preston St, Belleville, NJ 07109-2268 | 2011-05-07 |
| 1922316702 | Deborah Kay Elimon | Specialist | 7201 W Main St, Belleville, IL 62223-3023 | 2010-09-15 |
| 1003015942 | Karen Lynn Bassimer | Specialist | 16 Eagle Dr, Belleville, IL 62221-4403 | 2007-07-11 |
| 1477603165 | Strategic Transtitions Consulting | Specialist | 49071 Denton Rd Apt 206, Belleville, MI 48111-2107 | 2007-01-12 |
| 1942273974 | Dermassociates Ltd | Specialist | 3608 W Main St, Belleville, IL 62226-6225 | 2006-02-09 |
| 1851397319 | Ravi Kumar | Specialist | 211 S 3rd St, Belleville, IL 62220-1915 | 2005-06-21 |
| 1427462597 | Neurological Institute of Interventional Pain Management Pllc | Specialist | 11650 Belleville Rd, Suite 105, Belleville, MI 48111-3380 | 2014-06-17 |
| 1851735450 | Mark S. Feldman, M.d. P.C. | Specialist | 311 W Lincoln St, Suite 100, Belleville, IL 62220-1902 | 2013-04-25 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on SOUTHERN ILLINOIS PULMONARY CONSULTANTS, LTD..
| 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.