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SIU PHYSICIANS & SURGEONS INC NPI 1780607291


NPI Information

NPI: 1780607291
Provider Name: SIU PHYSICIANS & SURGEONS, INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
701 N 1ST ST
D235
SPRINGFIELD, IL
ZIP 62781
Phone: (217) 545-7578
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SIU PHYSICIANS & SURGEONS, INC is a cardiovascular disease internal medicine in Springfield, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SIU PHYSICIANS & SURGEONS, INC NPI is 1780607291. 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 7/25/2006 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
1207RH0003XInternal MedicineHematology & OncologyILLINOISNo
2207RI0200XInternal MedicineInfectious DiseaseILLINOISNo
3207RP1001XInternal MedicinePulmonary DiseaseILLINOISNo
4207RR0500XInternal MedicineRheumatologyILLINOISNo
5207RC0000XInternal MedicineCardiovascular DiseaseILLINOISYes

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
2CE8687OTHERILLINOISRR MEDICARE
3CE8688OTHERILLINOISRR MEDICARE
4CE8689OTHERILLINOISRR MEDICARE
5CE8686OTHERILLINOISRR MEDICARE
6CE8931OTHERILLINOISRR 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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