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

Physician Services Corporation of Southern Illinois Inc

Organization Family Medicine Physician · NPI 1831101807

Physician Services Corporation of Southern Illinois Inc provides Family Medicine Physician services in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
9
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156 Not confirmed with CMS for 11 years — call before visiting
Phone: (618) 899-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Rural Health Clinic/Center Taxonomy 261QR1300X (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1831101807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deland Evischi — Vp Finance Smgsmg · (618) 899-1040
Other names Ssm Health Medical Group
NPI enumeratedAugust 11, 2006
Last updated in NPPESAugust 25, 2015
Mailing address4218 Lincolnshire Dr, Mount Vernon, IL 62864-2156

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