Physician Services Corporation of Southern Illinois Inc
NPI 1154725976 · Non-Pharmacy Dispensing Site · Mount Vernon, IL
Physician Services Corporation of Southern Illinois Inc is a Non-Pharmacy Dispensing Site organization in Mount Vernon, IL (NPI 1154725976).
Provider details
- NPI number
- 1154725976
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Deland Evischi, Vp Finance Smgsmg(618) 899-1040
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- St. Mary'S Good Samaritan Medical Group
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Frequently asked questions
- What is Physician Services Corporation of Southern Illinois Inc's NPI number?
- Physician Services Corporation of Southern Illinois Inc's National Provider Identifier (NPI) is 1154725976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Services Corporation of Southern Illinois Inc?
- Physician Services Corporation of Southern Illinois Inc is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Physician Services Corporation of Southern Illinois Inc located?
- Physician Services Corporation of Southern Illinois Inc's practice location on file with NPPES is 602 S 42nd St Ste B, Mount Vernon, IL 62864-6264.
- What is Physician Services Corporation of Southern Illinois Inc's phone number?
- The practice phone number listed in the NPPES registry for Physician Services Corporation of Southern Illinois Inc is (618) 899-3278.
- Who is the authorized official for Physician Services Corporation of Southern Illinois Inc?
- The authorized official listed on Physician Services Corporation of Southern Illinois Inc's NPPES record is Deland Evischi, Vp Finance Smgsmg. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Services Corporation of Southern Illinois Inc's NPI active?
- Yes — Physician Services Corporation of Southern Illinois Inc's NPI (1154725976) is active in the NPPES registry as of the last update on 2014-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.