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Physician Services Corporation of Southern Illinois Inc.

Internal Medicine Physician in Mount Vernon, IL · enumerated 2006 · authorized official Deland Evischi, Vp Finance Smgsmg.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831101807

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Registry record

Entity type Organization (Type 2)
Legal business name Physician Services Corporation of Southern Illinois Inc.
Other name <Unavail>
Practice address 4218 Lincolnshire Dr, Mount Vernon, IL, 62864
Enumeration date Aug 11, 2006
Last updated in NPPES Aug 25, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Deland Evischi
Title Vp Finance Smgsmg

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Physician Services Corporation of Southern Illinois Inc.?
NPPES lists Deland Evischi (Vp Finance Smgsmg) as the authorized official for this organization.
What is the NPI number for Physician Services Corporation of Southern Illinois Inc.?
The NPI for Physician Services Corporation of Southern Illinois Inc. is 1831101807, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-25.