OrganizationActive
Southern Illinois Mobility, LLC
NPI 1437606415 · Customized Equipment (DME) · Alto Pass, IL
Provider details
- NPI number
- 1437606415
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kip Lyerla, President(618) 521-2819
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1020 Lyerla Ln
Alto Pass, IL 62905-3015
Phone: (618) 521-2819
Street-level locationGet directions
Mailing address
1020 Lyerla Ln
Alto Pass, IL 62905-3015
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2016-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.