Provider Type Icon

ILLINOIS DEPARTMENT OF PUBLIC HEALTH NPI 1891023164


NPI Information

NPI: 1891023164
Provider Name: ILLINOIS DEPARTMENT OF PUBLIC HEALTH

Doing Business As: HIV/AIDS SECTION

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 14D2203667

Address:
525 WEST JEFFERSON
1ST FLOOR
SPRINGFIELD, IL
ZIP 62761
Phone: (217) 524-5983
Get Directions

ILLINOIS DEPARTMENT OF PUBLIC HEALTH is a clinical medical laboratory in Springfield, IL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. ILLINOIS DEPARTMENT OF PUBLIC HEALTH NPI is 1891023164. The provider is registered as an organization entity type.
The provider Is Doing Business As Hiv/aids Section.

The provider's business location address is:

525 WEST JEFFERSON
1ST FLOOR
SPRINGFIELD, IL
ZIP 62761
Phone: (217) 524-5983
Fax: (217) 524-6090

The provider's authorized official is Matt Charles .
The authorized official title is Hiv/aids Assistant Section Chief and has the following contact phone number (217) 782-1207.

The CLIA number assigned to this NPI record is 14D2203667 - other - idph staff with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2009 and was last updated on 11/25/2009.


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
1291U00000XClinical Medical LaboratoryILLINOISYes

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.