| Organization Name: | SPRINGFIELD CLINIC LLP |
| NPI Number: | 1437369030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY BRYANT (ASSISTANT ADMINISTRATOR - CEO) |
| Mailing Address: | 20613 N Broad St Carlinville |
| State: | IL US |
| Postal Code: | 626263717 |
| Phone Number: | 2178545099 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |