Southern Illinois Medical Specialists, LLC
Organization Active NPI Internal Medicine Physician · Sesser, IL
NPI 1134530173 · NPPES record last updated May 13, 2014
Key facts
- NPI
- 1134530173
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036125672 (IL)
- Legal business name
- SOUTHERN ILLINOIS MEDICAL SPECIALISTS, LLC
- Practice address
- 107 W Franklin St
Sesser, IL 62884-1456 - Phone
- (618) 625-2105
- Fax
- (618) 625-2108
- NPI assigned
- May 13, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Lee Peter Bee, D.O., F.A.C.O.I.
- Title
- Ceo/Owner
- Phone
- (618) 625-2105
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician |
202C00000X | 036125672 | IL | |
| Neuromusculoskeletal Medicine & OMM Physician |
204D00000X | 036125672 | IL | |
| Internal Medicine Physician |
207R00000X | 036125672 | IL | Yes |
| Interventional Pain Medicine Physician |
208VP0014X | 036125672 | IL | |
| Primary Care Clinic/Center | 261QP2300X | 036125672 | IL | |
| Clinical Medical Laboratory | 291U00000X | 14D2034829 | IL |
Addresses
Primary practice location
107 W Franklin St
Sesser, IL 62884-1456
Mailing address
107 W Franklin St
Sesser, IL 62884-1456
Phone (618) 625-2105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036125672 | Medicaid | IL |
Other providers in Sesser, IL
- James J Pavlovich
- Jilissa M Payne
- Jami D Ramsey
- Sesser Valier Cud 196
- Southern Illinois Medical Specialists, LLC
- Jessica Lee Stroud
- Rachel Lynn Sullivan
- Brandie Nichole Williams
- Emily Christine Wright
All providers in Sesser, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.