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

Southern Illinois Surgical Consultants SC

Organization Surgery Physician · NPI 1366540593

Southern Illinois Surgical Consultants SC provides Surgery Physician services in Maryville, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2227 Vadalabene Dr Ste 300
Maryville, IL 62062-5823 Not confirmed with CMS for 17 years — call before visiting
Phone: (618) 288-7485
Fax: (618) 288-9086
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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 number1366540593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morris Kugler — President · (618) 288-7485
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 10, 2009
Mailing address2227 Vadalabene Dr, Ste 300, Maryville, IL 62062-5823

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