# SPRINGFIELD CLINIC LLP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPRINFIELD CLINIC LLP
- **Other names:** Springfield Clinic Peoria
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255916078
- **Legal business name:** SPRINFIELD CLINIC LLP
- **Authorized official:** CHRISTOPHER MICHAEL COUSINS (VP, MANAGED CARE & ANCILLARY SERVIC)
- **Authorized official phone:** (217) 528-7541

## Contact information

- **Practice address:** 1001 MAIN ST STE 300, PEORIA, IL 61606-2036
- **Practice address phone:** (309) 495-0200
- **Practice address fax:** (309) 676-6545
- **Mailing address:** PO BOX 19284, SPRINGFIELD, IL 62794-9248
- **Mailing address phone:** (217) 528-7541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2021
- **Last updated:** 03/12/2021