PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC is a non pharmacy dispensing site in Mount Vernon, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC NPI is 1154725976. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Mary's Good Samaritan Medical Group.
The provider's business location address is:
602 S 42ND ST STE B
MOUNT VERNON, IL
ZIP 62864-264
Phone: (618) 899-3278
Fax: (618) 242-1853
The provider's authorized official is Deland Evischi .
The authorized official title is Vp Finance Smgsmg and has the following contact phone number (618) 899-1040.
The enumeration date for this NPI number is 10/22/2014 and was last updated on 10/22/2014.