Organization
CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C.
Active
Organization
CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SHEVLIN M.D. (PRESIDENT)
(217) 522-7004
Entity
Organization
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 522-7004
Mailing address
PO BOX 5987, CAROL STREAM, IL 60197-5987
(217) 522-7004
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08423059
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/25/2006
Last updated
03/22/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up