CENTRAL ILLINOIS PEDIATRICS, LTD; NPI #1467456996

Contact Information

CENTRAL ILLINOIS PEDIATRICS, LTD

900 W TEMPLE AVE STE 203
EFFINGHAM, IL 62401-2187

Phone: 217-342-5405
Fax: 217-342-5564
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for CENTRAL ILLINOIS PEDIATRICS, LTD

NPI # 1467456996

LBN Legal business name CENTRAL ILLINOIS PEDIATRICS, LTD

Authorized official WILLIAM ECKSTEIN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/13/2005

Last updated 03/30/2016 - About 10 years ago

Identifiers

IL	License #	036066126
IL	Medicaid	036066126
IL	Other	2507249	BLUE CROSS
IL	Other	015857	HEALTH ALLIANCE INS
IL	Other	167190	HEALTHLINK INS.

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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