Physicians Group Associates S C
NPI #1841216975 in Springfield, Illinois
Provider Information
- NPI Number
- 1841216975
- Entity Type
- Organization
- Organization Name
- Physicians Group Associates S C
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHYSICIANS GROUP ASSOCIATES SC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Sep 26, 2014
Practice Location
- Address
- 2901 OLD JACKSONVILLE RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-7437
- Phone
- (217) 698-9722
Authorized Official
- Name
- JAMES LAFATA, M.D.
- Title
- PRESIDENT
- Phone
- (217) 698-9722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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