Organization
SPRINGFIELD CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHAEL COUSINS (VICE PRESIDENT)
(217) 391-7100
Entity
Organization
Contact information
Practice address
350 W CARPENTER ST, SPRINGFIELD, IL 62702-4902
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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