Organization
SOUTHERN ILLINOIS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY NIGAM MD (PRESIDENT)
(618) 288-5019
Entity
Organization
Contact information
Practice address
6805 STATE ROUTE 162 STE 201, MARYVILLE, IL 62062-8530
(618) 288-5019
(618) 288-5059
Mailing address
6805 STATE ROUTE 162 STE 201, MARYVILLE, IL 62062-8530
(618) 288-5019
(618) 288-5059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/13/2006
Last updated
04/06/2026
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