OrganizationActive
Southern Illinois Healthcare
NPI 1528126257 · Physical Therapist · Herrin, IL
Provider details
- NPI number
- 1528126257
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mary Wiggs, Orthopedic Program Coordinator(618) 942-2171
- License
- 070009719 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 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
201 S 14th Street
Herrin, IL 62948
Phone: (618) 942-2171
Fax: (618) 351-4943
Street-level locationGet directions
Mailing address
201 S 14th Street
Herrin, IL 62948
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2008-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.