Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gastroenterology Care of Southern Illinois, LLC

Organization Gastroenterology Physician · NPI 1609914183

Gastroenterology Care of Southern Illinois, LLC provides Gastroenterology Physician services in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3301 Patriot Ct
Herrin, IL 62948-3782
Phone: (618) 998-8885
Fax: (618) 998-8886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036-073571 (IL)

Record details

NPI number1609914183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sushilkunar Tibrewala — President · (618) 998-8885
Other names Sushilkumar Tibrewala, Md; Sushilkumar Tibrewala, Md
NPI enumeratedFebruary 4, 2007
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address24 Pine Lake Dr, Carbondale, IL 62901-5410

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