Southern Illinois Physician Services, PC
NPI 1508953746 · Gastroenterology Physician · Belleville, IL
Southern Illinois Physician Services, PC is a Gastroenterology Physician organization in Belleville, IL (NPI 1508953746).
Provider details
- NPI number
- 1508953746
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rebecca Tiberend, Billing Officer Supervisor(618) 222-9999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2018-06-21
Frequently asked questions
- What is Southern Illinois Physician Services, PC's NPI number?
- Southern Illinois Physician Services, PC's National Provider Identifier (NPI) is 1508953746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Physician Services, PC?
- Southern Illinois Physician Services, PC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Illinois Physician Services, PC located?
- Southern Illinois Physician Services, PC's practice location on file with NPPES is 4600 Memorial Drive, Belleville, IL 62226.
- What is Southern Illinois Physician Services, PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Physician Services, PC is (618) 222-9999.
- Who is the authorized official for Southern Illinois Physician Services, PC?
- The authorized official listed on Southern Illinois Physician Services, PC's NPPES record is Rebecca Tiberend, Billing Officer Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Physician Services, PC's NPI active?
- Yes — Southern Illinois Physician Services, PC's NPI (1508953746) is active in the NPPES registry as of the last update on 2018-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.