Healthcare Provider Details

I. General information

NPI: 1295975837
Provider Name (Legal Business Name): STERLING EMERGENCY PHYSICIANS OF ILLINOIS, S.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 N 12TH ST
MOUNT VERNON IL
62864-2857
US

IV. Provider business mailing address

3565 SOLUTIONS CTR
CHICAGO IL
60677-0001
US

V. Phone/Fax

Practice location:
  • Phone: 618-242-0631
  • Fax:
Mailing address:
  • Phone: 800-639-0579
  • Fax: 904-805-1312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SCHILLINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 800-639-0579