Organization
CENTRAL ILLINOIS PEDIATRICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L ECKSTEIN MD (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
208000000X
Pediatrics Physician
Primary
036066126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015857
HEALTH ALLIANCE
IL
05
—
036066126
—
IL
01
—
167190
HEALTHLINK
IL
01
—
2507249
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/20/2016
Last updated
04/20/2016
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