Physicians Health Association of Illinois
NPI #1497829899 in Springfield, Illinois
Provider Information
- NPI Number
- 1497829899
- Entity Type
- Organization
- Organization Name
- Physicians Health Association of Illinois
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 701 N 1ST ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62781-4026
- Phone
- (217) 588-2882
Authorized Official
- Name
- MR. MICHAEL KOS
- Title
- IPA ADMINISTRATOR
- Phone
- (217) 588-2674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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