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SPECIALTY PHYSICIANS OF ILLINOIS LLC NPI 1124075676


NPI Information

NPI: 1124075676
Provider Name: SPECIALTY PHYSICIANS OF ILLINOIS, LLC

Former Legal Business Name: WELLGROUP HEALTH PARTNERS, LLC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2169054

Address:
1040 SIERRA DR STE 400
GREENWOOD, IN
ZIP 46143
Phone: (317) 528-4291
Get Directions

SPECIALTY PHYSICIANS OF ILLINOIS, LLC is an internal medicine in Greenwood, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SPECIALTY PHYSICIANS OF ILLINOIS, LLC NPI is 1124075676. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wellgroup Health Partners, Llc.

The provider's business location address is:

1040 SIERRA DR STE 400
GREENWOOD, IN
ZIP 46143-241
Phone: (317) 528-4291

The provider's authorized official is Donna Phalen .
The authorized official title is Director and has the following contact phone number (219) 554-4548.

The CLIA number assigned to this NPI record is 14D2169054 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 2/15/2023.


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
1207K00000XAllergy & ImmunologyNo
2207N00000XDermatologyNo
3207Q00000XFamily MedicineNo
4207U00000XNuclear MedicineNo
5207V00000XObstetrics & GynecologyNo
6207W00000XOphthalmologyNo
7207X00000XOrthopaedic SurgeryNo
8207Y00000XOtolaryngologyNo
9208000000XPediatricsNo
102084N0400XPsychiatry & NeurologyNeurologyNo
112085R0202XRadiologyDiagnostic RadiologyNo
122085U0001XRadiologyDiagnostic UltrasoundNo
13208600000XSurgeryNo
14208800000XUrologyNo
15207R00000XInternal MedicineYes

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
1203979OTHERILLINOISMEDICARE PTAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.