Organization
KILLIAN AND ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY M KILLIAN MD (OWNER)
(217) 544-3143
Entity
Organization
Contact information
Practice address
1020 S 5TH ST, SPRINGFIELD, IL 62703-2312
(217) 544-3143
(217) 544-4436
Mailing address
1020 S 5TH ST, SPRINGFIELD, IL 62703-2312
(217) 544-3143
(217) 544-4436
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042007661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076560
—
IL
Enumeration date
10/11/2005
Last updated
02/14/2023
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