Washington University Physicians in Illinois, Inc
Organization Active NPI Multi-Specialty Clinic/Center · Shiloh, IL
NPI 1356822993 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1356822993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC
- Practice address
- 1418 Cross St Ste 180
Shiloh, IL 62269-2965 - Phone
- (314) 362-8200
- NPI assigned
- Aug 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Cathy Eghigian
- Title
- Senior Director Managed Care
- Phone
- (314) 273-0770
Other NPIs on the same Medicare enrollment 12
Practitioners 41
-
Misty D Biciocchi, FNP
-
Mark Biebel, MD
-
Courtney L Hutkowski, ACNP
-
Michelle Marie Bloom, ACNP
-
Tracy A Cope, PNP
-
Lauren Skelly Decamp, PNP
-
Kefu Du, MD
-
Nancy E Fuegner, PNP
-
Mark C Johnson, MD
-
Tsuyoshi Kaneko, MD
-
Anna Lijowska, MD
-
Chang Liu, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180227002018 | IL | Part B Supplier - Clinic/Group Practice | 4789945163 |
Receives reassigned benefits from 520 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbia, IL; Maryville, IL; Edwardsville, IL; Godfrey, IL; Highland, IL; Mount Vernon, IL; O Fallon, IL; Oak Brook, IL… |
National Provider Directory
Locations
2122 Troy Rd
Edwardsville, IL 62025
Phone (618) 655-0386
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1418 Cross St Ste 180
Shiloh, IL 62269-2965
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 747-2611
Other names
- WUPI - Department of Urological Surgery
- Washington University
Other providers in Shiloh, IL
- Sheila Forrest Wagner
- Walgreen Co
- Walgreen Co.
- Stacy Ann Ward
- Washington University Physicians in Illinois, Inc
- Washington University Physicians in Illinois, Inc
- Washington University Physicians in Illinois, Inc.
- Germysha Emily Little Weatherall
- Julie Lynn Weber
- Christina Lynn Wells
All providers in Shiloh, IL · Multi-Specialty Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.