Organization
SPRINGFIELD CLINIC LLP
Active
Organization
SPRINGFIELD CLINIC LLP
Active
Parent organization
SPRINFIELD CLINIC LLP
Other names
Springfield Clinic Peoria
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRINFIELD CLINIC LLP
Authorized official
CHRISTOPHER MICHAEL COUSINS (VP, MANAGED CARE & ANCILLARY SERVIC)
(217) 528-7541
Entity
Organization
Contact information
Practice address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0200
(309) 676-6545
Mailing address
PO BOX 19284, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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