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WESTERN ILLINOIS SURGICAL ASSOCIATES S.C. NPI 1841314382


NPI Information

NPI: 1841314382
Provider Name: WESTERN ILLINOIS SURGICAL ASSOCIATES, S.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
515 E GRANT ST STE 211
MACOMB, IL
ZIP 61455
Phone: (309) 833-3706
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WESTERN ILLINOIS SURGICAL ASSOCIATES, S.C. is a specialist in Macomb, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTERN ILLINOIS SURGICAL ASSOCIATES, S.C. NPI is 1841314382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 E GRANT ST STE 211
MACOMB, IL
ZIP 61455-378
Phone: (309) 833-3706

The provider's authorized official is Edwin L Card .
The authorized official title is Owner and has the following contact phone number (309) 833-3706.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 10/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K46143OTHERILLINOISPROVIDER NUMBER
2K46871OTHERREW PTAN
3724860OTHERILLINOISREW GROUP PTAN
4724860MEDICARE OSCAR/CERTIFICATIONILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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