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SIU PHYSICIANS & SURGEONS INC NPI 1558385989


NPI Information

NPI: 1558385989
Provider Name: SIU PHYSICIANS & SURGEONS, INC

Doing Business As: SIU HEALTHCARE

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 14D0984681

Address:
201 E MADISON ST STE 328
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
Get Directions

SIU PHYSICIANS & SURGEONS, INC is an endocrinology and diabetes and metabolism internal medicine in Springfield, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SIU PHYSICIANS & SURGEONS, INC NPI is 1558385989. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Siu Healthcare.

The provider's business location address is:

201 E MADISON ST STE 328
SPRINGFIELD, IL
ZIP 62702-131
Phone: (217) 545-8000
Fax: (844) 470-2488

The provider's authorized official is Shelby Renee Burdick .
The authorized official title is Asst Mgr, Medical Staff Services and has the following contact phone number (217) 545-6523.

The CLIA number assigned to this NPI record is 14D0984681 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2006 and was last updated on 1/29/2024.


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
1207RG0100XInternal MedicineGastroenterologyILLINOISNo
2207RR0500XInternal MedicineRheumatologyNo
32084P0800XPsychiatry & NeurologyPsychiatryILLINOISNo
4208M00000XHospitalistILLINOISNo
5207ND0101XDermatologyMOHS-Micrographic SurgeryILLINOISNo
6207Q00000XFamily MedicineILLINOISNo
7207R00000XInternal MedicineILLINOISNo
8207RA0201XInternal MedicineAllergy & ImmunologyNo
9207N00000XDermatologyILLINOISNo
10207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismILLINOISYes

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
10001558385989MEDICAIDILLINOIS
2CB2589OTHERILLINOISRR MEDICARE
3CE8689OTHERILLINOISRR MEDICARE
4CE8688OTHERILLINOISRR MEDICARE
5CE8686OTHERILLINOISRR MEDICARE
6CE8931OTHERILLINOISRR MEDICARE
7CE8687OTHERILLINOISRR 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.