Siu Physicians & Surgeons, Inc in Springfield - Pediatric Urology

Siu Physicians & Surgeons, Inc - NPI 1790705507

Siu Physicians & Surgeons, Inc is a Pediatric Urology in Springfield, Illinois. Siu Physicians & Surgeons, Inc practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Siu Physicians & Surgeons, Inc is 1790705507. The last update date is 2022-07-21.

Siu Physicians & Surgeons, Inc's current location address is 720 N Bond St, Springfield, Illinois. You can contact this provider via phone number 2175458000. The mailing address for Siu Physicians & Surgeons, Inc is 720 N Bond St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Siu Physicians & Surgeons, Inc
Address 720 N Bond St, Springfield, Illinois
Phone Number 2175458000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Kruse Jerry
Credentials MD
Telephone Number 2175457876

NPI Number Detail

NPI Number 1790705507
Provider Enumeration Date 2006-07-21
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 720 N Bond St
City Springfield
State Illinois (IL)
Post Code 627024952
Phone Number 2175458000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Urology
Taxonomy 2088P0231X
Definition:
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CE8689 IL RR MEDICARE
CE8688 IL RR MEDICARE
CE8686 IL RR MEDICARE
CE8687 IL RR MEDICARE
CB2589 IL RR MEDICARE
CE8931 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) 1790705507. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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

The Siu Physicians & Surgeons, Inc is situated at the following address: 720 N Bond St, Springfield, IL, 627024952.

What is Siu Physicians & Surgeons, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Siu Physicians & Surgeons, Inc is Pediatric Urology, and the corresponding taxonomy classification code for this specialized field is 2088P0231X.

On what date did the Siu Physicians & Surgeons, Inc receive the assignment of its 1790705507 from the Centers for Medicare & Medicaid Services?

The Siu Physicians & Surgeons, Inc was issued its 1790705507 by the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information regarding Siu Physicians & Surgeons, Inc most recently updated?

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

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