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

Southern Illinois Primary Care Associates, PC

Organization Family Medicine Physician · NPI 1912904574

Southern Illinois Primary Care Associates, PC provides Family Medicine Physician services in Fairfield, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 NW 11th St
Fairfield, IL 62837-1218 Not confirmed with CMS for 15 years — call before visiting
Phone: (618) 842-4470
Fax: (618) 842-3437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 060005614 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 060005614 (IL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 060005614 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 060005614 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 060005614 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 060005614 (IL)

Record details

NPI number1912904574
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthern Illinois Primary Care Associates, PC
Authorized official Cathy Harte — Director Of Business/Corp Secretary · (618) 842-4470
NPI enumeratedJune 28, 2005
Last updated in NPPESJanuary 14, 2011
Mailing address209 Nw 11th St, Fairfield, IL 62837-1218

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