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SIU PHYSICIANS & SURGEONS INC NPI 1285657379


NPI Information

NPI: 1285657379
Provider Name: SIU PHYSICIANS & SURGEONS, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
701 N 1ST ST
D235
SPRINGFIELD, IL
ZIP 62781
Phone: (217) 545-7578
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SIU PHYSICIANS & SURGEONS, INC is a pediatrics in Springfield, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SIU PHYSICIANS & SURGEONS, INC NPI is 1285657379. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 N 1ST ST
D235
SPRINGFIELD, IL
ZIP 62781-001
Phone: (217) 545-7578
Fax: (217) 545-1884

The provider's authorized official is David Tkach .
The authorized official title is Ceo and has the following contact phone number (217) 545-7578.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)ILLINOISNo
22080P0006XPediatricsDevelopmental - Behavioral PediatricsILLINOISNo
32080P0206XPediatricsPediatric GastroenterologyILLINOISNo
42080P0208XPediatricsPediatric Infectious DiseasesILLINOISNo
52080P0210XPediatricsPediatric NephrologyILLINOISNo
6208000000XPediatricsILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB2589OTHERILLINOISRR MEDICARE
2CE8931OTHERILLINOISRR MEDICARE
3CE8689OTHERILLINOISRR MEDICARE
4CE8686OTHERILLINOISRR MEDICARE
5CE8687OTHERILLINOISRR MEDICARE
6CE8688OTHERILLINOISRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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