Central Illinois Pediatrics, LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036066126 Issued in IL

Legal business name

CENTRAL ILLINOIS PEDIATRICS, LTD

Practice address

900 W Temple Ave Ste 203
Effingham, IL 62401-2187

Phone

(217) 342-5405

Fax

(217) 342-5564

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. William L Eckstein, M.D.NPI 1619038171

Title

President

Phone

(217) 342-5405

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Dr. William Eckstein Other name

Practitioners 1

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.

• William Laurence Eckstein, MD

  • Pediatrics Physician
  • Muncie, IN
  • NPI 1619038171
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1467456996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 203",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012187",
            "telephone_number": "217-342-5405",
            "fax_number": "217-342-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 203",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012187",
            "telephone_number": "217-342-5405",
            "fax_number": "217-342-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS PEDIATRICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ECKSTEIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-342-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "IL",
            "license": "036066126",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036066126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE INS",
            "identifier": "015857",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066126",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK INS.",
            "identifier": "167190",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2507249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. William Eckstein",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry J Carroll, CRNA, APN
• Jennifer Marie Castillo
• Central Illinois Oral & Maxillofacial Surgery
• Central Illinois Oral and Maxillofacial Surgery, PC (Central Illinois Oral Surgery)
• Central Illinois Pediatrics LTD
• Cep America Illinois Intensivists
• Cep America-Illinois Hospitalists
• Cepamerica Illinois LLP
• Asim Nazir Cheema, MD
• Donna Jean Cheney, PT

• Primary Care Clinic/Center in Effingham, IL
• Providers in Effingham, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.