# ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Elizabeth's BHS Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194736728
- **Authorized official:** ANN BOND (SYSTEM DIRECTOR-GOVERNMENT REIMB)
- **Authorized official phone:** (217) 814-4586

## Contact information

- **Practice address:** 211 S 3RD ST, BELLEVILLE, IL 62220-1915
- **Practice address phone:** (618) 234-2120
- **Practice address fax:** (618) 222-4761
- **Mailing address:** 3051 HOLLIS DR, SPRINGFIELD, IL 62704-7450
- **Mailing address phone:** (618) 234-2120
- **Mailing address fax:** (618) 222-4761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 0002345 | IL | Yes |
| 363A00000X | Physician Assistant | 0002345 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 041.334033 | IL | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 01/21/2026