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Southern Illinois Healthcare Foundation, Inc.
Nurse Practitioner in East Saint Louis, Illinois
NPI 1770648917

Southern Illinois Healthcare Foundation, Inc. is a Nurse Practitioner based in East Saint Louis, IL. Southern Illinois Healthcare Foundation, Inc. practices in East Saint Louis, IL. The NPI Number for Southern Illinois Healthcare Foundation, Inc. is 1770648917 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Healthcare Foundation, Inc. is 2568 N 41St St, East Saint Louis, IL and can be reached out via phone at 618-482-4015 and via fax at 618-482-4806.

Location: 2568 N 41St St, East Saint Louis, IL, 62203-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770648917
Provider Name
Southern Illinois Healthcare Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
2568 N 41St St, East Saint Louis, IL, 62203-1808
Phone Number
618-482-4015
Fax Number
618-482-4806
Provider Enumeration Date
12/27/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
2568 N 41St St
City
East Saint Louis
State
Illinois
Zip
62201-2204
Phone Number
618-482-4015
Fax Number
618-482-4806
person
Provider Business Mailing Address Details
Address
2568 N 41St St
City
East Saint Louis
State
Illinois
Zip
62201-2204
Phone Number
618-482-4015
Fax Number
618-482-4806
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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