OrganizationActive
St Elizabeths Hospital of the Hospital Sisters of the Third Order
NPI 1033132030 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Belleville, IL
Provider details
- NPI number
- 1033132030
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Evard, Vp of Revenue Cycle(217) 492-9651
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 W Lincoln St
Suite 210
Belleville, IL 62220-1901
Phone: (618) 641-5800
Fax: (618) 641-5825
Street-level locationGet directions
Mailing address
3051 Hollis Dr
Springfield, IL 62704-7450
Other names (DBA / former)
- Doing business as
- Illini Sports Medicine
- Doing business as
- Illini Sports Medicine
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.