NPI 1144729716

St Elizabeths Hospital of the Hospital Sisters of the Third Order

Organisation Radiology Clinic/Center Belleville, IL

Practice location

Address: 180 South Third Street Suite 101, Belleville, IL 62220
Mailing address: 3051 Hollis Dr, Springfield, IL 62704-7450

Authorised official

Name: Mark D Evard
Title: Vp of Revenue Cycle
Phone: (217) 492-9651

Registered specialties (2)

Radiology Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0200X Licence 9003609 (IL)

Other Clinic/Center providers in Illinois →

Mammography Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0206X Licence 9003609 (IL)

Registry record

NPI: 1144729716
Entity type: Organization
NPI issued: 8 Feb 2018
Record last updated: 31 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.