| Organization Name: | COUNTY OF SANGAMON |
| NPI Number: | 1164448262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES D STONE (DIRECTOR OF PUBLIC HEALTH) |
| Mailing Address: | 2833 S Grand Ave E Springfield |
| State: | IL US |
| Postal Code: | 627032175 |
| Phone Number: | 2175353100 |
| Fax Number: | 2175353104 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 261QP0905X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |