PHILIP ZUMWALTM.D. NPI 1508946112

NPI Information

  • NPI: 1508946112
  • Provider Name: PHILIP ZUMWALT,M.D.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: WATSEKA FAMILY PRACTICE
  • Address: 125 S 4TH ST
    WATSEKA, IL
    ZIP 60970
  • Phone: (815) 432-5430

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NPI Details

PHILIP ZUMWALT,M.D. is a rural health clinic center in Watseka, IL. PHILIP ZUMWALT,M.D. NPI is 1508946112. The provider is registered as an organization entity type.
The provider Is Doing Business As Watseka Family Practice.

The provider's business location address is:

125 S 4TH ST
WATSEKA, IL
ZIP 60970-601
Phone: (815) 432-5430
Fax: (815) 432-6024

The provider's authorized official is Philip Frank Zumwalt .
The authorized official title is Owner/physician and has the following contact phone number (815) 432-5430.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 10/8/2008.

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
1261QR1300XClinic/CenterRural HealthYes

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
1143939MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2========= 001MEDICAIDILLINOIS

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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