Illinois Department of Public Health
NPI #1891023164 in Springfield, Illinois
Provider Information
- NPI Number
- 1891023164
- Entity Type
- Organization
- Organization Name
- Illinois Department of Public Health
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 25, 2009
- Last Updated
- Nov 25, 2009
Practice Location
- Address
- 525 WEST JEFFERSON
- Address 2
- 1ST FLOOR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62761
- Phone
- (217) 524-5983
Authorized Official
- Name
- MR. MATT CHARLES
- Title
- HIV/AIDS ASSISTANT SECTION CHIEF
- Phone
- (217) 782-1207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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