Board Of Trustees Of Southern Illinois University
Specialty details in registry · Pittsfield, IL
At a glance
606 W Adams St, Pittsfield, IL 62363-1308
NPPES record updated Jan 9, 2025. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
606 W Adams StPittsfield, IL 62363-1308
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QF0400X
- Enumeration date
- Feb 26, 2020
- Record updated
- Jan 9, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QF0400X · Primary
Specialty details in registry
261QP2300X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
606 W Adams StPittsfield, IL 62363-1308
- Phone
- (217) 285-4407
- Fax
- (217) 285-4639
Mailing address
PO BOX 19639SPRINGFIELD, IL 627949639
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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