Siu Physicians & Surgeons, Inc in Springfield - Developmental - Behavioral Pediatrics
Siu Physicians & Surgeons, Inc - NPI 1285657379
Siu Physicians & Surgeons, Inc is a Developmental - Behavioral Pediatrics in Springfield, Illinois. Siu Physicians & Surgeons, Inc practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. 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 |
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Address | Po Box 19639, Springfield, Illinois |
Phone Number | 2175457578 |
Fax Number | 2175451884 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Tkach David |
Telephone Number | 2175457578 |
NPI Number Detail
NPI Number | 1285657379 |
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Provider Enumeration Date | 2006-07-26 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | Po Box 19639 |
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City | Springfield |
State | Illinois (IL) |
Post Code | 627949639 |
Phone Number | 2175457578 |
Fax Number | 2175451884 |
Provider's Primary Taxonomy Detail
Speciality | Developmental - Behavioral Pediatrics |
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Taxonomy | 2080P0006X |
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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 |
Post Comment/ Review Below
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 Developmental - Behavioral Pediatrics, and the corresponding taxonomy code is 2080P0006X.
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.