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

Southern Illinois Surgical Associates, PC

Organization Surgery Physician · NPI 1184813115

Southern Illinois Surgical Associates, PC provides Surgery Physician services in Marion, Illinois. Registered with an NPI since 2007.

In the registry since
2007
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

8333 Express Dr Ste D
Marion, IL 62959-6474 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 997-3103
Fax: (618) 997-3241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1184813115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Miller — President · (618) 997-3103
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 16, 2007
Mailing address8333 Express Dr Ste D, Marion, IL 62959-6474

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