institution
Central Illinois Pediatrics, Ltd
Primary Care Clinic/Center in Effingham, Illinois
NPI 1467456996

Central Illinois Pediatrics, Ltd is a Primary Care Clinic/Center based in Effingham, IL and is specialized in Primary Care. Central Illinois Pediatrics, Ltd practices in Effingham, IL. The NPI Number for Central Illinois Pediatrics, Ltd is 1467456996 and holds a License No. 036066126 (Illinois).

The current practice location address for Central Illinois Pediatrics, Ltd is 900 W Temple Ave Ste 203, Effingham, IL and can be reached out via phone at 217-342-5405 and via fax at 217-342-5564.

Location: 900 W Temple Ave Ste 203, Effingham, IL, 62401-2187
institution
Provider Profile Details
NPI Number
1467456996
Provider Name
Central Illinois Pediatrics, Ltd
Credential
Provider Entity Type
Organization
Address
900 W Temple Ave Ste 203, Effingham, IL, 62401-2187
Phone Number
217-342-5405
Fax Number
217-342-5564
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015857 01 IL HEALTH ALLIANCE INS
036066126 05 IL
167190 01 IL HEALTHLINK INS.
2507249 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
900 W Temple Ave Ste 203
City
State
Zip
62401-2187
Phone Number
217-342-5405
Fax Number
217-342-5564
person
Provider Business Mailing Address Details
Address
900 W Temple Ave Ste 203
City
State
Zip
62401-2187
Phone Number
217-342-5405
Fax Number
217-342-5564
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
036066126 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
036066126 (Illinois)
Definition
Definition to come...
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