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

Southern Illinois Healthcare Foundation, Inc

Organization Family Medicine Physician · NPI 1811236458

Southern Illinois Healthcare Foundation, Inc provides Family Medicine Physician services in Millstadt, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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

60 Regency Pl
Millstadt, IL 62260-2210 Not confirmed with CMS for 13 years — call before visiting
Phone: (618) 476-9177
Fax: (618) 476-1890
Show map & directions

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 number1811236458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Ceo · (618) 332-0694
Other names Millstadt Medical Clinic
NPI enumeratedFebruary 1, 2013
Last updated in NPPESFebruary 1, 2013
Mailing address2041 Goose Lake Rd, Sauget, IL 62206-2822

Other providers in Millstadt