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 1811054935

Southern Illinois Healthcare Foundation, Inc provides Family Medicine Physician services in East Saint Louis, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
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

2001 State St
East Saint Louis, IL 62205-1803 Not confirmed with CMS for 17 years — call before visiting
Phone: (618) 271-9191
Fax: (618) 271-9617
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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
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1811054935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Chief Operating Officer · (618) 332-0783
Other names State Street Center
NPI enumeratedJanuary 2, 2007
Last updated in NPPESOctober 30, 2008
Mailing address8080 State St, East Saint Louis, IL 62203-1808

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