Organization
SIU PHYSICIANS & SURGEONS, INC
Active
Other names
SIU HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY KRUSE (CEO)
(217) 545-7876
Entity
Organization
Contact information
Practice address
315 W CARPENTER ST, SPRINGFIELD, IL 62702-4901
(217) 545-5817
(217) 545-1141
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
332BC3200X
Customized Equipment (DME)
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
07/21/2022
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