Clinton Internal Medicine Services, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLINTON INTERNAL MEDICINE SERVICES, S.C.

Practice address

40 Clinton PLZ
Clinton, IL 61727-2100

Phone

(217) 935-7600

Fax

(217) 935-7603

NPI assigned

Jan 19, 2011

Last updated

Mar 24, 2016By 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

Carol Collins

Title

Billing Mananger

Phone

(217) 849-2545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1477858660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CLINTON PLZ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272100",
            "telephone_number": "217-935-7600",
            "fax_number": "217-935-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CLINTON PLZ",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272100",
            "telephone_number": "217-935-7600",
            "fax_number": "217-935-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON INTERNAL MEDICINE SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING MANANGER",
        "authorized_official_telephone_number": "217-849-2545"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Clinton (Warner Hospital and Health Services)
• Clausen Pharmacy
• Clinton Chiropractic Center Inc
• Clinton Family Dental
• Clinton Internal Medicine LLC
• Clinton Unit School District 15
• Stephanie A Cluver, DC
• Community Living Options Inc (Allen Court)
• Complete Wellness and Integrative Health Center LTD
• Timothy William Cooper, DC

• Internal Medicine Physician in Clinton, IL
• Providers in Clinton, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.