Organization Active NPI

Southern Illinois Hematology Oncology LTD

  • Specialist
  • Herrin, IL
National Provider Identifier
1346348364
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on May 10, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.