HSHS MEDICAL GROUP; NPI #1265752844

Contact Information

HSHS MEDICAL GROUP

1900 E LAKE SHORE DR STE 330
SUITE 330
DECATUR, IL 62521-3848

Phone: 217-423-2889
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for HSHS MEDICAL GROUP

NPI # 1265752844

LBN Legal business name HSHS MEDICAL GROUP

Authorized official RICHARD ROLSTAN - (PRESIDENT &CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/07/2010

Last updated 09/07/2010 - About 16 years ago

Identifiers

License #

036125483

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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HSHS MEDICAL GROUP

Contact Information

Specialty

Children

NPI Profile & details for HSHS MEDICAL GROUP

Reviews for HSHS MEDICAL GROUP