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SPRINGFIELD OBSTETRIC & GYNECOLOGIC ASSOCIATES S.C. NPI 1306822093


NPI Information

NPI: 1306822093
Provider Name: SPRINGFIELD OBSTETRIC & GYNECOLOGIC ASSOCIATES, S.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
350 W CARPENTER ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 525-0210
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SPRINGFIELD OBSTETRIC & GYNECOLOGIC ASSOCIATES, S.C. is an obstetrics gynecology in Springfield, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SPRINGFIELD OBSTETRIC & GYNECOLOGIC ASSOCIATES, S.C. NPI is 1306822093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 W CARPENTER ST
SPRINGFIELD, IL
ZIP 62702-902
Phone: (217) 525-0210
Fax: (217) 525-1007

The provider's authorized official is Edward Michael Bradley .
The authorized official title is President and has the following contact phone number (217) 525-0210.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 8/22/2020.


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
1207V00000XObstetrics & GynecologyILLINOISYes

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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