(618) 997-6800

510 Lincoln Drive | Herrin, IL 62948 (view map)

Patient Portal

Employee Portal

Online Bill Pay IL

Account # *

Amount *

$ .

Credit Card *

Name on Card *

Card Number *

CSV Code *

Card Expiration *

Month

Year

Billing Address *

City *

State *

Zip Code *

Country

Phone *

Email Address

(include if you would like to receive confirmation)

* = Required Field

* Required Field