# ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134171226
- **Authorized official:** DR. JEAN BENOIT HOULE M.D. (PRESIDENT)
- **Authorized official phone:** (618) 242-3778

## Contact information

- **Practice address:** 4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
- **Practice address phone:** (618) 242-3778
- **Practice address fax:** (618) 242-2551
- **Mailing address:** 4121 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6262
- **Mailing address phone:** (618) 242-3778
- **Mailing address fax:** (618) 242-2551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036097382 | IL | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 12/18/2014