Physicians Health Association of Illinois

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS

Practice address

701 N 1St St
Springfield, IL 62781-4026

Phone

(217) 588-2882

Fax

(217) 757-7550

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kos

Title

Ipa Administrator

Phone

(217) 588-2674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1497829899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 1ST STREET",
            "address_2": "BOX 136",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62781",
            "telephone_number": "217-588-2882",
            "fax_number": "217-757-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627814026",
            "telephone_number": "217-588-2882",
            "fax_number": "217-757-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH ASSOCIATION OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "KOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "IPA ADMINISTRATOR",
        "authorized_official_telephone_number": "217-588-2674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Phillips, M.D.
• Phoenix Sleep Solutions
• Physicians Group Associates S C
• Physicians Group Associates S C
• Physicians Group Associates S C
• Physiotactics
• Physiotherapy Professionals LLC
• Michael A. Pick, M.D.
• Pickett Transit Solutions LLC
• Ronald Pickett, M.D.

• Health Maintenance Organization in Springfield, IL
• Providers in Springfield, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.