Siu Physicians & Surgeons, Inc in Springfield - Clinical Genetics (m.d.)

Siu Physicians & Surgeons, Inc - NPI 1285657379

Siu Physicians & Surgeons, Inc is a Clinical Genetics (m.d.) in Springfield, Illinois. Siu Physicians & Surgeons, Inc practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Siu Physicians & Surgeons, Inc is 1285657379. The last update date is 2022-07-21.

Siu Physicians & Surgeons, Inc's current location address is Po Box 19639, Springfield, Illinois. You can contact this provider via phone number 2175457578 and fax number 2175451884. The mailing address for Siu Physicians & Surgeons, Inc is Po Box 19639, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Siu Physicians & Surgeons, Inc
Address Po Box 19639, Springfield, Illinois
Phone Number 2175457578
Fax Number 2175451884
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Tkach David
Telephone Number 2175457578

NPI Number Detail

NPI Number 1285657379
Provider Enumeration Date 2006-07-26
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address Po Box 19639
City Springfield
State Illinois (IL)
Post Code 627949639
Phone Number 2175457578
Fax Number 2175451884

Provider's Primary Taxonomy Detail

Speciality Clinical Genetics (m.d.)
Taxonomy 207Sg0201X
Definition:
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CE8688 IL RR MEDICARE
CE8689 IL RR MEDICARE
CE8687 IL RR MEDICARE
CE8931 IL RR MEDICARE
CE8686 IL RR MEDICARE
CB2589 IL RR MEDICARE

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FAQs about Siu Physicians & Surgeons, Inc

What is the unique identification code assigned to Siu Physicians & Surgeons, Inc by the Centers for Medicare & Medicaid Services?

The Siu Physicians & Surgeons, Inc has been issued the NPI (National Provider Identifier) 1285657379. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Siu Physicians & Surgeons, Inc is geographically located?

The Siu Physicians & Surgeons, Inc is physically situated at the following location: Po Box 19639, Springfield, IL, 627949639.

What is the Siu Physicians & Surgeons, Inc's specialty and taxonomy code?

The Siu Physicians & Surgeons, Inc's specialty is Clinical Genetics (m.d.), and the corresponding taxonomy code is 207Sg0201X.

On what date did the Centers for Medicare & Medicaid Services issue the 1285657379 to Siu Physicians & Surgeons, Inc?

The Siu Physicians & Surgeons, Inc received its 1285657379 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.

As of what date were the details pertaining to Siu Physicians & Surgeons, Inc last refreshed?

The information related to the Siu Physicians & Surgeons, Inc, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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