Organization
HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES V VEST MD (PRESIDENT)
(618) 222-9999
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DR, SUITE 100, BELLEVILLE, IL 62226-5366
(618) 222-9999
(618) 222-9337
Mailing address
PO BOX 24007, BELLEVILLE, IL 62223-9007
(618) 222-9999
(618) 222-9337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036095025
IL
207Q00000X
Family Medicine Physician
036096627
IL
207Q00000X
Family Medicine Physician
036096642
IL
207R00000X
Internal Medicine Physician
036087011
IL
207R00000X
Internal Medicine Physician
036087648
IL
207R00000X
Internal Medicine Physician
036092347
IL
207R00000X
Internal Medicine Physician
036093757
IL
207R00000X
Internal Medicine Physician
036106952
IL
207R00000X
Internal Medicine Physician
036108140
IL
207R00000X
Internal Medicine Physician
036113541
IL
207R00000X
Internal Medicine Physician
036114966
IL
207RP1001X
Pulmonary Disease Physician
036053136
IL
207RP1001X
Pulmonary Disease Physician
036091795
IL
207RP1001X
Pulmonary Disease Physician
036114207
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
036114259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08221043
BCBS OF ILLINOIS ID#
IL
Enumeration date
07/15/2006
Last updated
05/02/2008
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