OrganizationActive
Southern Il Regional Wellness Center
NPI 1295194009 · Federally Qualified Health Center (FQHC) · Washington Park, IL
Provider details
- NPI number
- 1295194009
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Freeland, Ceo(618) 482-7922
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1736 Kingshighway
Washington Park, IL 62204-2135
Phone: (618) 482-7922
Fax: (618) 215-4048
Street-level locationGet directions
Mailing address
1736 Kingshighway
Washington Park, IL 62204-2135
Registry dates
- Enumerated
- 2016-02-22
- Last updated
- 2016-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.