Washington University Physicians in Illinois, Inc
Organization Active NPI Multi-Specialty Clinic/Center · O Fallon, IL
NPI 1477076263 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1477076263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC
- Practice address
- 1414 Cross St
O Fallon, IL 62269-2988 - Phone
- (314) 273-0770
- Fax
- (314) 273-0470
- NPI assigned
- Jul 24, 2017
- 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
Other NPIs with the same Medicare PAC ID 1
Practitioners 550
-
Amanda D Allen, AGNP
-
Amira Mary Bahu, MD
-
Misty D Biciocchi, FNP
-
Alexis L Brown, FNP
-
Alfred O Greco, MD
-
Brett Howard Herzog, MD PHD
-
Courtney L Hutkowski, ACNP
-
Michelle Veronica Jacob, AGNP
-
Elizabeth Jane Johns, ACNP
-
Paul Kogan, MD
-
Jason Dole Lee, MD
-
Angela L Long, FNP
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 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
4 Memorial Dr
Ofc
Alton, IL 62002
2 Memorial Dr
Ste 120
Alton, IL 62002
Phone (618) 332-4081
4 Memorial Dr
Ste 134
Alton, IL 62002
Phone (618) 607-1340
4 Memorial Dr
Ste 110
Alton, IL 62002
Phone (618) 474-1711
4600 Memorial Dr
Ste 180
Belleville, IL 62226
Phone (618) 235-8282
4600 Memorial Dr
Ste 160
Belleville, IL 62226
Phone (618) 235-0460
4700 Memorial Dr
Ste 180
Belleville, IL 62226
4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066
900 E Walnut St
Carbondale, IL 62901
1400 Pin Oak Dr
Carterville, IL 62918
Phone (618) 529-3159
200 Admiral Trost Rd
Ste 1B
Columbia, IL 62236
Phone (618) 281-7377
2122 Troy Rd
Ste 140
Edwardsville, IL 62025
8 Sunset Hills Professional Ctr
#10
Edwardsville, IL 62025
1414 Cross St
Ste 130
Shiloh, IL 62269
Phone (618) 607-1220
1414 Cross St
Ste 220
Shiloh, IL 62269
Phone (618) 607-1201
1414 Cross St
Ste 140A
Shiloh, IL 62269
4000 N Illinois Ln
Ste B
Swansea, IL 62226
Phone (618) 236-1000
4111 N Illinois St
Ste B
Swansea, IL 62226
4000 N Illinois Ln
Swansea, IL 62226
Phone (618) 233-8130
4921 Parkview Pl
#7A
Saint Louis, MO 63110
1040 N Mason Rd
Ste 110
Saint Louis, MO 63141
10 Barnes West Dr
Ste 101
Saint Louis, MO 63141
Phone (314) 996-3335
13001 North Outer 40 Rd
Town and Country, MO 63017
Phone (314) 454-3013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1414 Cross St
O Fallon, IL 62269-2988
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 273-0770
Other names
- WUPI - Internal Medicine
- Washington University
Other providers in O Fallon, IL
- Katarina Waltman
- Walton CS XII PC
- Chih Jen Wang
- Waning Moon LLC
- Allison Renee Washenko
- Washington University Physicians in Illinois, Inc
- Washington University Physicians in Illinois, Inc.
- Kayla Dalene Waterman
- Heather Ann Waterson
- Ashley Angela Watschinger
All providers in O Fallon, 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.