SIU PHYSICIANS & SURGEONS INC NPI 1275556771

NPI Information

  • NPI: 1275556771
  • Provider Name: SIU PHYSICIANS & SURGEONS, INC
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Organization
  • Address: 701 N 1ST ST
    D235
    SPRINGFIELD, IL
    ZIP 62781
  • Phone: (217) 545-7578

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NPI Details

SIU PHYSICIANS & SURGEONS, INC is a neonatal-perinatal medicine pediatrics in Springfield, IL. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. SIU PHYSICIANS & SURGEONS, INC NPI is 1275556771. 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0202XPediatricsPediatric CardiologyILLINOISNo
22080P0203XPediatricsPediatric Critical Care MedicineILLINOISNo
32080P0207XPediatricsPediatric Hematology-OncologyILLINOISNo
42080P0214XPediatricsPediatric PulmonologyILLINOISNo
52080N0001XPediatricsNeonatal-Perinatal MedicineILLINOISYes

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
1CE8931OTHERILLINOISRR MEDICARE
2CE8686OTHERILLINOISRR MEDICARE
3CE8689OTHERILLINOISRR MEDICARE
4CE8687OTHERILLINOISRR MEDICARE
5CB2589OTHERILLINOISRR MEDICARE
6CE8688OTHERILLINOISRR 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: 11/21/2025

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