| Physicians Group Associates S C | |
|
2901 Old Jacksonville Rd Springfield IL 62704-7437 | |
| (217) 698-9722 | |
| (217) 391-0392 |
| Full Name | Physicians Group Associates S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 2901 Old Jacksonville Rd, Springfield, Illinois |
| Authorized Official Name and Position | James Lafata (PRESIDENT) |
| Authorized Official Contact | 2176989722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Group Associates S C Po Box 500 Chatham IL 62629-0500 Ph: (217) 670-2424 | Physicians Group Associates S C 2901 Old Jacksonville Rd Springfield IL 62704-7437 Ph: (217) 698-9722 |
| NPI Number | 1275565988 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 09/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275565988 | NPI | - | NPPES |
| CD7143 | Other | IL | RR MEDICARE GRP |
| 6394P | Other | IL | CATERPILLAR |
| 14D0949277 | Other | IL | CLIA CERT# |
| 020057300 | Other | IL | BLACK LUNG |
| 08421024 | Other | IL | BLUE CROSS BLUE SHIELD |
| 133586700 | Other | IL | ACS-OWCP |
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