Springfield Neurosurgical Assocaites, S.C. in Springfield - Surgery
Springfield Neurosurgical Assocaites, S.C. - NPI 1841477247
Springfield Neurosurgical Assocaites, S.C. is a Surgery in Springfield, Illinois. Springfield Neurosurgical Assocaites, S.C. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Springfield Neurosurgical Assocaites, S.C. is 1841477247. The last update date is 2010-10-11.
Springfield Neurosurgical Assocaites, S.C.'s current location address is 2921 Montvale Dr, Springfield, Illinois. You can contact this provider via phone number 2177939600 and fax number 2177938975. The mailing address for Springfield Neurosurgical Assocaites, S.C. is 2921 Montvale Dr, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Springfield Neurosurgical Assocaites, S.C. |
|---|---|
| Address | 2921 Montvale Dr, Springfield, Illinois |
| Phone Number | 2177939600 |
| Fax Number | 2177938975 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pencek L Terrence |
| Credentials | M.D., PH.D |
| Telephone Number | 2177939600 |
NPI Number Detail
| NPI Number | 1841477247 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2010-10-11 |
Provider Mailing Address Detail
| Address | 2921 Montvale Dr |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627045359 |
| Phone Number | 2177939600 |
| Fax Number | 2177938975 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36078656 |
|
Definition: 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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36078656 | IL | -- | |
| 8420196 | IL | BCBS OF IL | |
| 140003749 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Springfield Neurosurgical Assocaites, S.C. by the Centers for Medicare & Medicaid Services?
The Springfield Neurosurgical Assocaites, S.C. has been issued the NPI (National Provider Identifier) 1841477247, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Springfield Neurosurgical Assocaites, S.C. is physically located?
The Springfield Neurosurgical Assocaites, S.C. is physically situated at the following address: 2921 Montvale Dr, Springfield, IL, 627045359.
When did the Springfield Neurosurgical Assocaites, S.C. receive its 1841477247?
The Springfield Neurosurgical Assocaites, S.C. was issued its 1841477247 on 2008-01-28, which is the date when the organization was assigned this unique identifier.
On what date did the Springfield Neurosurgical Assocaites, S.C. receive its 1841477247 assignment from the Centers for Medicare & Medicaid Services?
The Springfield Neurosurgical Assocaites, S.C. was assigned its 1841477247 by the Centers for Medicare & Medicaid Services on 2008-01-28.
As of what date were the details related to Springfield Neurosurgical Assocaites, S.C. most recently updated or revised?
The information pertaining to Springfield Neurosurgical Assocaites, S.C., including its address, specialty, and other relevant details, was last updated or revised on 2010-10-11.
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