Southern Illinois Respiratory Disease Consultants, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036098950 Issued in IL

Legal business name

SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS, LLC

Practice address

317 S 14TH St
Suite 3
Herrin, IL 62948-3671

Phone

(618) 942-7402

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Suhail Istanbouly, M.D.

Title

President

Phone

(618) 942-7402

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javier Muniz, D.O.

  • Internal Medicine Physician
  • Herrin, IL
  • NPI 1548263668
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1124282462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 14TH ST",
            "address_2": "SUITE 3",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483671",
            "telephone_number": "618-942-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 14TH ST",
            "address_2": "SUITE 3",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483671",
            "telephone_number": "618-942-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS RESPIRATORY DISEASE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "ISTANBOULY",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-942-7402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036098950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098950",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois Hospital Services
• Southern Illinois Hospital Services
• Southern Illinois Medical Services, NFP
• Southern Illinois OB-GYN Associates, S.C.
• Southern Illinois Orthopedic Center,LLC
• Southern Illinois Rheumatology, SC
• Southern Orthopedic Associates SC
• Southern Rehab Specialists, LLC
• Courtney Sowels, PHARMD
• Natalie Spiller, PA-C

• Pulmonary Disease Physician in Herrin, IL
• Providers in Herrin, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.