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ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS NPI 1407218365


NPI Information

NPI: 1407218365
Provider Name: ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS

Doing Business As: ST ANTHONY'S NEUROSURGERY SPECIALISTS

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
211 S BURNS AVE
SPARTA, IL
ZIP 62286
Phone: (314) 543-5999
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ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS is a neurological surgery in Sparta, IL. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS NPI is 1407218365. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Anthony's Neurosurgery Specialists.

The provider's business location address is:

211 S BURNS AVE
SPARTA, IL
ZIP 62286-895
Phone: (314) 543-5999
Fax: (314) 543-5994

The provider's authorized official is David Morton .
The authorized official title is Cmo and has the following contact phone number (314) 525-1053.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryILLINOISYes

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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