Organization
CENTRAL ILLINOIS PEDIATRICS, LTD
Active
Other names
Dr. William Eckstein
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L ECKSTEIN M.D. (PRESIDENT)
(217) 342-5405
Entity
Organization
Contact information
Practice address
900 W TEMPLE AVE STE 203, EFFINGHAM, IL 62401-2187
(217) 342-5405
(217) 342-5564
Mailing address
900 W TEMPLE AVE STE 203, EFFINGHAM, IL 62401-2187
(217) 342-5405
(217) 342-5564
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
036066126
IL
261QP2300X
Primary Care Clinic/Center
Primary
036066126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015857
HEALTH ALLIANCE INS
IL
05
—
036066126
—
IL
01
—
167190
HEALTHLINK INS.
IL
01
—
2507249
BLUE CROSS
IL
Enumeration date
06/13/2005
Last updated
03/30/2016
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