THEODORE R SUNDER M.D. NPI 1255315065

NPI Information

  • NPI: 1255315065
  • Provider Name: THEODORE R SUNDER, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • Address: 421 N 9TH ST
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 757-6888

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NPI Details

Theodore R Sunder, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Springfield, IL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Theodore R Sunder, M.D. NPI is 1255315065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

421 N 9TH ST
SPRINGFIELD, IL
ZIP 62702-317
Phone: (217) 757-6888
Fax: (217) 757-6869

The enumeration date for this NPI number is 12/5/2005 and was last updated on 4/8/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology036-088538ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L82254MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2036088538MEDICAIDILLINOIS
3C86654MEDICARE UPIN

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: 11/21/2025

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