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ST. ELIZABETH HOSPITAL NPI 1033132030


NPI Information

NPI: 1033132030
Provider Name: ST. ELIZABETH HOSPITAL

Doing Business As: ILLINI SPORTS MEDICINE

Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
301 W LINCOLN ST
SUITE 210
BELLEVILLE, IL
ZIP 62220
Phone: (618) 641-5800
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ST. ELIZABETH HOSPITAL is a sports medicine physical medicine rehabilitation in Belleville, IL. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. ST. ELIZABETH HOSPITAL NPI is 1033132030. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Illini Sports Medicine.

The provider's business location address is:

301 W LINCOLN ST
SUITE 210
BELLEVILLE, IL
ZIP 62220-901
Phone: (618) 641-5800
Fax: (618) 641-5825

The provider's authorized official is Mark D Evard .
The authorized official title is Vp Of Revenue Cycle and has the following contact phone number (217) 492-9651.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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