Active NPI
Southern Illinois Hematology Oncology LTD
- Specialist
- Herrin, IL
National Provider Identifier
1346348364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTHERN ILLINOIS HEMATOLOGY ONCOLOGY LTD
- Practice address
- 220 S Park Ave
Herrin, IL 62948-3612 - Phone
- (618) 942-8822
- Fax
- (618) 942-4477
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Faloudi
- Title
- Ceo
- Phone
- (618) 942-8822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
220 S Park Ave
Herrin, IL 62948-3612
Mailing address
220 S Park Ave
PO Box 667
Herrin, IL 62948-3612
Phone (618) 942-8822
National Provider Directory
National Provider DirectoryLocations
1052 M L King Dr
Centralia, IL 62801
Phone (618) 533-5000
220 S Park Ave
Herrin, IL 62948
Phone (618) 942-8822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273449600000",
"number": "1346348364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S PARK AVE",
"address_2": "PO BOX 667",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483612",
"telephone_number": "618-942-8822",
"fax_number": "618-942-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S PARK AVE",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483612",
"telephone_number": "618-942-8822",
"fax_number": "618-942-4477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ILLINOIS HEMATOLOGY ONCOLOGY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2010-05-10",
"status": "A",
"authorized_official_last_name": "FALOUDI",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "618-942-8822"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herrin, IL
- Richard Daniel Smith, D.C.
- Roger Smith, PAC
- Amber-Rose Snowden, SLP
- Southern Illinois Dermatology, PC
- Southern Illinois Healthcare
- Southern Illinois Hospital Services (Herrin Hospital)
- Southern Illinois Hospital Services (Herrin Hospital)
- Southern Illinois Hospital Services (Herrin Hospital)
- Southern Illinois Hospital Services (Herrin Hospital)
- Southern Illinois Hospital Services (Herrin Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.