Provider Type Icon

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
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.