Clinton Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLINTON INTERNAL MEDICINE LLC

Practice address

40 Clinton PLZ
Clinton, IL 61727-2100

Phone

(217) 935-7600

Fax

(217) 935-7603

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Veronica Luster

Title

Office Manager

Phone

(217) 935-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1497811657",
    "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-935-7600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Clinton
• City of Clinton
• Clausen Pharmacy
• Clinton Chiropractic Center Inc
• Clinton Family Dental
• Clinton Internal Medicine Services, S.C.
• Clinton Unit School District 15
• Stephanie A Cluver, DC
• Community Living Options Inc
• Complete Wellness and Integrative Health Center LTD

• All providers in Clinton, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.