SIU PHYSICIANS & SURGEONS INC NPI 1467476895

NPI Information

NPI: 1467476895
Provider Name: SIU PHYSICIANS & SURGEONS, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
701 N 1ST ST
D235
SPRINGFIELD, IL
ZIP 62781
Phone: (217) 545-7578
Get Directions

SIU PHYSICIANS & SURGEONS, INC is a neurology psychiatry neurology in Springfield, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SIU PHYSICIANS & SURGEONS, INC NPI is 1467476895. 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 7/27/2006 and was last updated on 6/20/2018.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	=========	ILLINOIS	No
2	101YP2500X	Counselor	Professional	=========	ILLINOIS	No
3	103G00000X	Clinical Neuropsychologist		=========	ILLINOIS	No
4	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	=========	ILLINOIS	No
5	103T00000X	Psychologist		=========	ILLINOIS	No
6	103TC0700X	Psychologist	Clinical	=========	ILLINOIS	No
7	1041C0700X	Social Worker	Clinical	=========	ILLINOIS	No
8	2084P0800X	Psychiatry & Neurology	Psychiatry	=========	ILLINOIS	No
9	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	=========	ILLINOIS	No
10	2084N0400X	Psychiatry & Neurology	Neurology	=========	ILLINOIS	Yes

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
1	CB2589	OTHER	ILLINOIS	RR MEDICARE
2	CE8689	OTHER	ILLINOIS	RR MEDICARE
3	CE8686	OTHER	ILLINOIS	RR MEDICARE
4	CE8687	OTHER	ILLINOIS	RR MEDICARE
5	CE8688	OTHER	ILLINOIS	RR MEDICARE
6	CE8931	OTHER	ILLINOIS	RR 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: 11/14/2023

NPI Synchronization or Removal

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