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Illinois 159 is a north-south route running from Red Bud through the Metro-East to IL16. It passes through Collinsville and Belleville on its way.

Intersections from south to north:

In the town of Red Bud, IL159 begins at IL3, at a point which is the western terminus of IL154

IL156 joins from the west

IL156 breaks off and goes east

IL15 at Belleville

IL13/IL158 at Belleville

IL161 at Swansea

I-64/US50 at Fairview Hts.

I-55/I-70/US40 near Maryville

IL162 near Glen Carbon

I-255 near Glen Carbon

As IL157 joins IL143 from the west, IL159 joins IL143 to go toward the northwest at Edwardsville

IL143 breaks off and heads west

IL140

IL138 near Bunker Hill

IL159 ends at IL16 at Royal Lakes.

It passes through these towns: Red Bud, Smithton, Belleville, Swansea, Fairview Hts., Collinsville, Maryville, Edwardsville, Bunker Hill, Royal Lakes.

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