Southern Illinois Family Foot Care, LLC
NPI 1972843613 · Medical Specialty Clinic/Center · Mount Vernon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Illinois Family Foot Care, LLC is a Medical Specialty Clinic/Center organization in Mount Vernon, IL (NPI 1972843613).
Provider details
- NPI number
- 1972843613
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Lee, President(618) 244-3668
- License
- 016003846 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2013-02-17
- Last updated
- 2014-05-16
Frequently asked questions
- What is Southern Illinois Family Foot Care, LLC's NPI number?
- Southern Illinois Family Foot Care, LLC's National Provider Identifier (NPI) is 1972843613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Family Foot Care, LLC?
- Southern Illinois Family Foot Care, LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Illinois Family Foot Care, LLC located?
- Southern Illinois Family Foot Care, LLC's practice location on file with NPPES is 221 N 27th St, Mount Vernon, IL 62864-2941.
- What is Southern Illinois Family Foot Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Family Foot Care, LLC is (618) 244-3668.
- Does Southern Illinois Family Foot Care, LLC accept Medicare?
- Southern Illinois Family Foot Care, LLC 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 Foot Care, LLC?
- The authorized official listed on Southern Illinois Family Foot Care, LLC's NPPES record is Brian Lee, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Family Foot Care, LLC's NPI active?
- Yes — Southern Illinois Family Foot Care, LLC's NPI (1972843613) is active in the NPPES registry as of the last update on 2014-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.