# SOUTHERN ILLINOIS RHEUMATOLOGY, SC

> 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:** 1437163367
- **Authorized official:** DR. FREDERICK J PFALZGRAF D.O. (PRESIDENT)
- **Authorized official phone:** (618) 529-2200

## Contact information

- **Practice address:** 317 S 14TH ST, SUITE 2, HERRIN, IL 62948-3601
- **Practice address phone:** (618) 529-2200
- **Mailing address:** PO BOX 2963, CARBONDALE, IL 62902-2963
- **Mailing address phone:** (618) 529-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | IL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/22/2020