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SPRINGFIELD NEUROSURGICAL ASSOCAITES S.C. NPI 1841477247


NPI Information

NPI: 1841477247
Provider Name: SPRINGFIELD NEUROSURGICAL ASSOCAITES, S.C.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2921 MONTVALE DR
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 793-9600
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SPRINGFIELD NEUROSURGICAL ASSOCAITES, S.C. is a surgery in Springfield, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SPRINGFIELD NEUROSURGICAL ASSOCAITES, S.C. NPI is 1841477247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2921 MONTVALE DR
SPRINGFIELD, IL
ZIP 62704-359
Phone: (217) 793-9600
Fax: (217) 793-8975

The provider's authorized official is Terrence L Pencek .
The authorized official title is Ceo and has the following contact phone number (217) 793-9600.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 10/11/2010.


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
1208600000XSurgery036078656ILLINOISYes

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
1IL2868076MEDICARE PINILLINOIS
2D83286MEDICARE UPINILLINOIS
38420196OTHERILLINOISBCBS OF IL
4903161MEDICARE PINILLINOIS
5140003749OTHERILLINOISRR MEDICARE
6036078656MEDICAIDILLINOIS

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

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