SIU PHYSICIANS & SURGEONS INC NPI 1427071646

NPI Information

SIU PHYSICIANS & SURGEONS, INC is a medical physician assistant in Springfield, IL. SIU PHYSICIANS & SURGEONS, INC NPI is 1427071646. 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 6/20/2018.

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:

Other Identifiers

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

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