National Provider Identifier Database

HSHS MEDICAL GROUP
Children


Contact Information

HSHS MEDICAL GROUP
1900 E LAKE SHORE DR STE 330
SUITE 330
DECATUR, IL62521-3848
Phone: 217-423-2889
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for HSHS MEDICAL GROUP

NPI Number 1265752844
Legal business name
LBN
HSHS MEDICAL GROUP
Authorized official RICHARD ROLSTAN - (PRESIDENT &CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/07/2010
Last updated 09/07/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 036125483

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for HSHS MEDICAL GROUP

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