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

Southern Illinois Healthcare Foundation, Inc

Organization Family Medicine Physician · NPI 1255880647

Southern Illinois Healthcare Foundation, Inc provides Family Medicine Physician services in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2
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

2900 Frank Scott Pkwy W Ste 980
Belleville, IL 62223-5000 Not confirmed with CMS for 10 years — call before visiting
Phone: (618) 397-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)

Record details

NPI number1255880647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Ceo · (618) 332-0694
Other names Illini Family Medicine
NPI enumeratedSeptember 26, 2016
Last updated in NPPESSeptember 26, 2016
Mailing address2041 Goose Lake Rd, Sauget, IL 62206-2822

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