Sleep & Neurology Center of Southern Illinois, LLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

Legal business name

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC

Practice address

2 Good Samaritan Way
Suite 400
Mount Vernon, IL 62864-2478

Phone

(618) 241-1869

NPI assigned

Mar 22, 2007

Last updated

Aug 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Snodsmith

Title

Regional VP Finance, Cfo

Phone

(618) 899-1040

Specialties & licenses 1

Addresses

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Good Samaritan Regional Health Center

  dba SSM Health Good Samaritan Hospital - Mt. Vernon

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1487758801

  Member Of

  NPD member
• Sajjan K Nemani MD SC

  dba Advance Sleep & Neurodiagnostic Services

  • Neurology Physician
  • Centralia, IL
  • NPI 1740494590

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1053437038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GOOD SAMARITAN WAY",
            "address_2": "SUITE 400",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642478",
            "telephone_number": "618-241-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GOOD SAMARITAN WAY",
            "address_2": "SUITE 400",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642478",
            "telephone_number": "618-241-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SNODSMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "REGIONAL VP FINANCE, CFO",
        "authorized_official_telephone_number": "618-899-1040"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Mary Skelly, N/A
• Skibo Family Eyecare LLC
• Emily Ellen Skibo, O.D.
• Skills 4 Life OT, LLC
• Skin Care Center of Southern Il LLC
• Aiping Smith, M.D.
• Bonnie Smith, RN
• Jamie Smith, FNP
• Jessica Sneed, OTR
• So Illinois Neurology & Rehab

• Sleep Medicine (Psychiatry & Neurology) Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.