Organization
SIU PHYSICIANS & SURGEONS, INC
Active
Other names
SIU HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY RENEE BURDICK (ASST MGR, MEDICAL STAFF SERVICES)
(217) 545-6523
Entity
Organization
Contact information
Practice address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
(844) 470-2488
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
IL
207ND0101X
MOHS-Micrographic Surgery Physician
—
IL
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
—
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
IL
207RG0100X
Gastroenterology Physician
—
IL
207RR0500X
Rheumatology Physician
—
—
2084P0800X
Psychiatry Physician
—
IL
208M00000X
Hospitalist Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001558385989
—
IL
01
—
CB2589
RR MEDICARE
IL
01
—
CE8686
RR MEDICARE
IL
01
—
CE8687
RR MEDICARE
IL
01
—
CE8688
RR MEDICARE
IL
01
—
CE8689
RR MEDICARE
IL
01
—
CE8931
RR MEDICARE
IL
Enumeration date
07/27/2006
Last updated
01/29/2024
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