| Southern Illinois Internal Medicine Ltd | |
|
4600 Memorial Drive Suite 310 Belleville IL 62226-5366 | |
| (618) 235-8720 | |
| (618) 235-8725 |
| Full Name | Southern Illinois Internal Medicine Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 4600 Memorial Drive, Belleville, Illinois |
| Authorized Official Name and Position | Mazhar H Lakho (OWNER PHYSICIAN) |
| Authorized Official Contact | 6182358720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Internal Medicine Ltd 4600 Memorial Drive Suite 310 Belleville IL 62226-5366 Ph: (618) 235-8720 | Southern Illinois Internal Medicine Ltd 4600 Memorial Drive Suite 310 Belleville IL 62226-5366 Ph: (618) 235-8720 |
| NPI Number | 1376630103 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 03/07/2008 |
| Medicare PECOS PAC ID | 2769567346 |
|---|---|
| Medicare Enrollment ID | O20080306000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376630103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Mazhar H Lakho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811997380 PECOS PAC ID: 7012904691 Enrollment ID: I20040427000350 |
| Provider Name | Rachel Lauren Heft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760846414 PECOS PAC ID: 5991098667 Enrollment ID: I20160719001647 |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste 160, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 | |
Pc Associates ,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Drive, Ste. 220, Belleville, IL 62226 Phone: 618-235-6191 Fax: 618-235-6716 | |
Healthcare Physicians Of Southern Illinois, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr Ste 400, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Albarcha Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-355-9972 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 N 27th St, Belleville, IL 62226 Phone: 618-235-6600 |