Central Illinois Lung Internist Associates, SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL ILLINOIS LUNG INTERNIST ASSOCIATES, SC

Practice address

655 Craig Rd
Suite 112
Saint Louis, MO 63141-7132

Phone

(314) 336-0945

Fax

(314) 336-0949

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

J Steven Arnold

Title

President

Phone

(314) 336-0945

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Anne Cohen, MD

  • Pulmonary Disease Physician
  • Decatur, IL
  • NPI 1295700763
  NPD (past)
• Shahrukh A Kureishy, MD

  • Pulmonary Disease Physician
  • McKinney, TX
  • NPI 1528061108
  NPD (past)
• Khaled Nazzal, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1881859726

  Pulmonary Disease

  NPD (past)
• Evangeline C Tan, M.D.

  • Pulmonary Disease Physician
  • Danville, IL
  • NPI 1770540924
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053363192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-4200",
            "fax_number": "217-876-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CRAIG RD",
            "address_2": "SUITE 112",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417132",
            "telephone_number": "314-336-0945",
            "fax_number": "314-336-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS LUNG INTERNIST ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-336-0945"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Dermatology, P.C.
• Central Diagnostic Lab LLC
• Central Institute for Teh Deaf
• Central Institute for the Deaf
• Central Institute for the Deaf
• Central Light Counseling, LLC
• Central Radiology Group LTD

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.