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A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal-Perinatal Medicine |
2080N0001X | 37 | Physician/Pediatric Medicine | |
Pediatric Cardiology |
2080P0202X | 37 | Physician/Pediatric Medicine | |
Pediatric Critical Care Medicine |
2080P0203X | 37 | Physician/Pediatric Medicine | |
Pediatric Hematology-Oncology |
2080P0207X | 37 | Physician/Pediatric Medicine | |
Pediatric Pulmonology |
2080P0214X | 37 | Physician/Pediatric Medicine |
| NPI # | 1275556771 |
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| LBN Legal business name | SIU PHYSICIANS & SURGEONS, INC | ||||||||||||||||||||||||
| Authorized official | DAVID TKACH - (CEO) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 07/25/2006 | ||||||||||||||||||||||||
| Last updated | 07/21/2022 - About 4 years ago | ||||||||||||||||||||||||
| Identifiers |
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SIU PHYSICIANS & SURGEONS, INC
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| VENKATA S MAJJIGA, MD 301 N 8TH STREET, SIU SCHOOL OF MEDICINE, PEDIATRICS SPRINGFIELD, IL |
| JYOTI ASSUDANI, MD 301 N 8TH STREET SPRINGFIELD, IL |
| CHRISTOPHER B EHRLICH, MD 2532 FARRAGUT DRIVE SPRINGFIELD, IL |
| RAYMOND L CASTALDO, MD 220 WABASH AVENUE SPRINGFIELD, IL |
| PELE B DINA, MD 415 N 9TH ST # 4W16 SPRINGFIELD, IL |
| BRIAN BOSTWICK, MD 301 N 8TH ST SPRINGFIELD, IL |
| RUCHIKA GOEL, MD, MPH 315 W CARPENTER ST FL 1 SPRINGFIELD, IL |
| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |
SIU PHYSICIANS & SURGEONS, INC