Illinois Department of Public Health
NPI #1992925580 in Springfield, Illinois
Provider Information
- NPI Number
- 1992925580
- Entity Type
- Organization
- Organization Name
- Illinois Department of Public Health
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 825 N RUTLEDGE ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-4910
- Phone
- (217) 782-6562
Authorized Official
- Name
- DR. ERIC E. WHITAKER, M.D., MPH
- Title
- DIRECTOR
- Phone
- (312) 814-5278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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