ILLINOIS DEPARTMENT OF PUBLIC HEALTH NPI 1891023164

NPI Information

  • NPI: 1891023164
  • Provider Name: ILLINOIS DEPARTMENT OF PUBLIC HEALTH
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: HIV/AIDS SECTION
  • Address: 525 WEST JEFFERSON
    1ST FLOOR
    SPRINGFIELD, IL
    ZIP 62761
  • Phone: (217) 524-5983

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NPI Details

ILLINOIS DEPARTMENT OF PUBLIC HEALTH is a clinical medical laboratory in Springfield, IL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. ILLINOIS DEPARTMENT OF PUBLIC HEALTH NPI is 1891023164. The provider is registered as an organization entity type.
The provider Is Doing Business As Hiv/aids Section.

The provider's business location address is:

525 WEST JEFFERSON
1ST FLOOR
SPRINGFIELD, IL
ZIP 62761
Phone: (217) 524-5983
Fax: (217) 524-6090

The provider's authorized official is Matt Charles .
The authorized official title is Hiv/aids Assistant Section Chief and has the following contact phone number (217) 782-1207.

The enumeration date for this NPI number is 11/25/2009 and was last updated on 11/25/2009.

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
1291U00000XClinical Medical LaboratoryILLINOISYes

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This page was last updated on: 3/30/2025

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