Springfield Neurosurgical Assocaites, S.C.
LBN: Springfield Neurosurgical Assocaites, S.C.
Springfield Neurosurgical Assocaites, S.C. is an health care organization with primary practice located at 2921 Montvale Dr , Springfield IL 62704-5359. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Springfield Neurosurgical Assocaites, S.C. can be contacted via phone (217) 793-9600, or through Pencek, Terrence L via phone (217) 793-9600.
Contact Information
Primary practice address
2921 Montvale Dr
Springfield IL 62704-5359
Phone: (217) 793-9600
Fax: (217) 793-8975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036078656 | Illinois |
Profile Details
| NPI number | 1841477247 |
|---|---|
| LBN Legal business name | Springfield Neurosurgical Assocaites, S.C. |
| DBA Doing business as | |
| Authorized official | Pencek, Terrence L M.D., PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Oct 11th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841477247 | NPPES |
| Illinois | MEDICAID | 036078656 | |
| Illinois | Other | 8420196 | |
| Illinois | Other | 140003749 |
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