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

Physician Services Corporation of Southern Illinois SC

Organization Clinic/Center · NPI 1316271653

Physician Services Corporation of Southern Illinois SC provides Clinic/Center services in Mount Vernon, Illinois. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1708 Jefferson Ave Ste 100
Mount Vernon, IL 62864-4309 Not confirmed with CMS for 17 years — call before visiting
Phone: (618) 241-1856
Fax: (618) 241-1857
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316271653
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhysician Services Corporation of Southern Illinois SC
Authorized official Richard Huntington — Vp Financial Services · (618) 241-2204
Other names St. Marys Good Samaritan Medical Group Ultrasound
NPI enumeratedSeptember 18, 2009
Last updated in NPPESSeptember 18, 2009
Mailing address413 Main St, Mount Vernon, IL 62864-3649

Other providers in Mount Vernon