| Springfield Clinic Llp | |
|
1001 Main St Ste 300 Peoria IL 61606-2036 | |
| (309) 495-0200 | |
| (309) 676-6545 |
| Full Name | Springfield Clinic Llp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1001 Main St Ste 300, Peoria, Illinois |
| Authorized Official Name and Position | Christopher Michael Cousins (VP, MANAGED CARE & ANCILLARY SERVIC) |
| Authorized Official Contact | 2175287541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic Llp Po Box 19284 Springfield IL 62794-9248 Ph: (217) 528-7541 | Springfield Clinic Llp 1001 Main St Ste 300 Peoria IL 61606-2036 Ph: (309) 495-0200 |
| NPI Number | 1255916078 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255916078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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