OrganizationActive
Physicians Surgical Center, LLC
NPI 1972548626 · Ambulatory Surgical Clinic/Center · Belleville, IL
Provider details
- NPI number
- 1972548626
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Wilson, Cfo(615) 346-4100
- License
- 042-006796 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
311 W Lincoln St
Ste. 300
Belleville, IL 62220-1902
Phone: (618) 233-7077
Fax: (618) 233-2814
Street-level locationGet directions
Mailing address
311 W Lincoln St
Belleville, IL 62220-1902
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2012-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.