Southern Illinois Family Medicine Corporation
NPI 1629086806 · Family Medicine Physician · Glen Carbon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Illinois Family Medicine Corporation is a Family Medicine Physician organization in Glen Carbon, IL (NPI 1629086806).
Provider details
- NPI number
- 1629086806
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jim Hong, Owner(618) 288-9466
- License
- 036114185 (IL)
Specialties & taxonomies
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
- 2006-08-04
- Last updated
- 2018-02-01
Frequently asked questions
- What is Southern Illinois Family Medicine Corporation's NPI number?
- Southern Illinois Family Medicine Corporation's National Provider Identifier (NPI) is 1629086806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Family Medicine Corporation?
- Southern Illinois Family Medicine Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Illinois Family Medicine Corporation located?
- Southern Illinois Family Medicine Corporation's practice location on file with NPPES is 104 Magnolia Dr Ste a, Glen Carbon, IL 62034-1595.
- What is Southern Illinois Family Medicine Corporation's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Family Medicine Corporation is (618) 288-9466.
- Does Southern Illinois Family Medicine Corporation accept Medicare?
- Southern Illinois Family Medicine Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Illinois Family Medicine Corporation?
- The authorized official listed on Southern Illinois Family Medicine Corporation's NPPES record is Jim Hong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Family Medicine Corporation's NPI active?
- Yes — Southern Illinois Family Medicine Corporation's NPI (1629086806) is active in the NPPES registry as of the last update on 2018-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.