Illini Cares

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036119004 Issued in IL

Legal business name

ILLINI CARES

Practice address

3631 S 6TH St
Suite D
Springfield, IL 62703-4777

Phone

(217) 391-5446

NPI assigned

Oct 17, 2016

Last updated

Apr 27, 2017By 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

Mr. Chad Beene

Title

Manager

Phone

(215) 915-1020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1316498165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 S 6TH ST",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034777",
            "telephone_number": "217-391-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S 6TH ST",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034777",
            "telephone_number": "217-391-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINI CARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "BEENE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-915-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036119004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihc-Springfield Emergency Physicians LLC
• Anna Ihnen, RD
• Ma Nora Theresa Ilad, NP
• Illinex LLC
• Carlos Ignacio Illingworth Garcia, M.D.
• Illinois Department of Human (DHS Central Outpatient Pharmacy)
• Illinois Department of Human Services (Andrew McFarland Mental Health Center)
• Illinois Department of Human Services
• Illinois Department of Public Health (HIV/AIDS Section)
• Illinois Department of Public Health

• General Practice Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.