Southwest Illinois Health Services, LLP

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

IL-01836-01 Issued in IL

Legal business name

SOUTHWEST ILLINOIS HEALTH SERVICES, LLP

Doing business as

PET/CT Imaging

Practice address

4000 North Illinois
Suite a
Swansea, IL 62226-1496

Phone

(618) 236-9770

Fax

(618) 236-9780

NPI assigned

Aug 26, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jane Gusmano

Title

Vice President

Phone

(618) 257-5607

Specialties & licenses 1

Addresses

Other names 1

• PET/CT Imaging Doing business as

Locations

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1932192622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 NORTH ILLINOIS",
            "address_2": "SUITE A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261496",
            "telephone_number": "618-236-9770",
            "fax_number": "618-236-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 NORTH ILLINOIS",
            "address_2": "SUITE A",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261496",
            "telephone_number": "618-236-9770",
            "fax_number": "618-236-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ILLINOIS HEALTH SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GUSMANO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-257-5607"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "IL",
            "license": "IL-01836-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PET/CT Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Nicole Solovitz, MSPT
• Southern Illinois Caring Hands (Southern Illinois Caring Solutions)
• Southern Illinois Healthcare Foundation, Inc. (SIHF Healthcare)
• Southern Illinois Healthcare Foundation, Inc.
• Southwest Illinois Health Services, LLP (Cancer Treatment Center)
• Southwestern Illinois Visiting Nurse Association
• Specialists in OB GYN, LTD.
• Ruth E Sponsler, MSED, MA, LCPC
• Linda S Spriggs, MSW, LCSW
• Melissa Spriggs, PH.D.

• Nuclear Radiology Physician in Swansea, IL
• Providers in Swansea, IL by specialty
• Nuclear Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.