SIU PHYSICIANS & SURGEONS INC NPI 1790705507

NPI Information

  • NPI: 1790705507
  • Provider Name: SIU PHYSICIANS & SURGEONS, INC
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Address: 720 N BOND ST
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 545-8000

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NPI Details

SIU PHYSICIANS & SURGEONS, INC is a neurological surgery in Springfield, 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. SIU PHYSICIANS & SURGEONS, INC NPI is 1790705507. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 N BOND ST
SPRINGFIELD, IL
ZIP 62702-952
Phone: (217) 545-8000

The provider's authorized official is Jerry Kruse .
The authorized official title is Ceo and has the following contact phone number (217) 545-7876.

The enumeration date for this NPI number is 7/21/2006 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
1207X00000XOrthopaedic SurgeryILLINOISNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryILLINOISNo
3207Y00000XOtolaryngologyILLINOISNo
4208600000XSurgeryILLINOISNo
52086S0120XSurgeryPediatric SurgeryILLINOISNo
62086S0122XSurgeryPlastic and Reconstructive SurgeryILLINOISNo
7208800000XUrologyILLINOISNo
82088P0231XUrologyPediatric UrologyILLINOISNo
9208C00000XColon & Rectal SurgeryILLINOISNo
10207T00000XNeurological SurgeryILLINOISYes

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
1CE8688OTHERILLINOISRR MEDICARE
2CE8687OTHERILLINOISRR MEDICARE
3CB2589OTHERILLINOISRR MEDICARE
4CE8689OTHERILLINOISRR MEDICARE
5CE8686OTHERILLINOISRR MEDICARE
6CE8931OTHERILLINOISRR 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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