Southern Illinois Vein Center, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN ILLINOIS VEIN CENTER, LLC

Practice address

3106 Outer Dr
Suite 100
Marion, IL 62959-5270

Phone

(618) 998-8346

Fax

(618) 997-3942

NPI assigned

Aug 10, 2007

Last updated

Apr 20, 2008By 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

Dr. James Robelen, M.D.NPI 1134199953

Title

Owner

Phone

(618) 998-8346

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James V Robelen, M.D.

  • Surgery Physician
  • Marion, IL
  • NPI 1134199953
  Authorized official Same address or phone

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295927697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 OUTER DR",
            "address_2": "SUITE 100",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595270",
            "telephone_number": "618-998-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 OUTER DR",
            "address_2": "SUITE 100",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595270",
            "telephone_number": "618-998-8346",
            "fax_number": "618-997-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBELEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-998-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Illinois Psychiatry LLC
• Southern Illinois Sleep Institute
• Southern Illinois Surgical Appliance Company
• Southern Illinois Surgical Associates, PC
• Southern Illinois Urology
• Southern Spine & Rehab, PLLC
• Amanda Sowers
• Marsha A. Sparks
• Sherell Marie Sparks, M.S., CRC, LCPC
• Joseph Specker IV, CRNA

• Surgery Physician in Marion, IL
• Providers in Marion, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.