Springfield Neurosurgical Assocaites, S.c.

NPI #1841477247 in Springfield, Illinois

Provider Information

NPI Number: 1841477247
Entity Type: Organization
Organization Name: Springfield Neurosurgical Assocaites, S.c.
Primary Specialty: Surgery
Enumeration Date: Jan 28, 2008
Last Updated: Oct 11, 2010

Practice Location

Address: 2921 MONTVALE DR
City: Springfield
State: Illinois
ZIP Code: 62704-5359
Phone: (217) 793-9600

Authorized Official

Name: DR. TERRENCE L PENCEK, M.D., PH.D.
Title: CEO
Phone: (217) 793-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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