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

Southern Illinois Heart and Vascular Center, PC

Organization Cardiovascular Disease Physician · NPI 1497984389

Southern Illinois Heart and Vascular Center, PC provides Cardiovascular Disease Physician services in Mt Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4115 S Water Tower Pl
Mt Vernon, IL 62864-6293 Not confirmed with CMS for 17 years — call before visiting
Phone: (941) 735-8419
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036123701 (IL)

Record details

NPI number1497984389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadi Shamsham — President · (941) 735-8419
NPI enumeratedJuly 13, 2009
Last updated in NPPESJuly 13, 2009
Mailing addressP.O.Box 1003, Mt. Vernon, IL 62864-6293