SIU PHYSICIANS & SURGEONS INC NPI 1821290057

NPI Information

  • NPI: 1821290057
  • Provider Name: SIU PHYSICIANS & SURGEONS, INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 747 N RUTLEDGE ST
    3RD FLOOR
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 545-0885

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NPI Details

SIU PHYSICIANS & SURGEONS, INC is a customized equipment durable medical equipment medical supplies in Springfield, IL. SIU PHYSICIANS & SURGEONS, INC NPI is 1821290057. The provider is registered as an organization entity type.

The provider's business location address is:

747 N RUTLEDGE ST
3RD FLOOR
SPRINGFIELD, IL
ZIP 62702-700
Phone: (217) 545-0885
Fax: (217) 545-2588

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 6/1/2007 and was last updated on 7/19/2023.

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
1332B00000XDurable Medical Equipment & Medical SuppliesILLINOISNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentILLINOISYes

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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