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Siu Physicians & Surgeons, INC

Durable Medical Equipment & Medical Supplies in Springfield, IL. Organization (NPI-2).

NPI number1164055976
StatusActive
Last updated in NPPESMay 11, 2020

Details

NPI
1164055976
Entity type
Organization (NPI-2)
Legal business name
Siu Physicians & Surgeons, INC
Organization subpart
No
Enumeration date
Feb 20, 2020
Certification date
May 11, 2020
Last updated
May 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

747 N Rutledge St Fl 5
Springfield, IL 62702-6700

Phone 217-545-8000

Mailing address

Po Box 19639
Springfield, IL 62794-9639

Phone 217-545-7876

Authorized official

Jo Turley
Medical Staff Coordinator
2175457876

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