Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Psychiatry, SC

Organization Psychiatry Physician · NPI 1760563688

Prairie Psychiatry, SC provides Psychiatry Physician services in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

301 W Lincoln St Ste 106
Belleville, IL 62220-1901
Phone: (618) 235-1582
Fax: (618) 235-2473
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (IL)

Record details

NPI number1760563688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Jung — Owner · (618) 235-1582
NPI enumeratedOctober 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address301 W Lincoln St, Suite 106, Belleville, IL 62220-1901

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