Central Illinois Pulmonary & Critical Care Associates

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

CENTRAL ILLINOIS PULMONARY & CRITICAL CARE ASSOCIATES

Practice address

600 E 1St St
Spring Valley, IL 61362-1512

Phone

(309) 645-8588

Fax

(309) 579-3011

NPI assigned

Feb 8, 2006

Last updated

Mar 11, 2019By 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

Bernard G Taylor, MDNPI 1558334557

Title

President

Phone

(309) 645-8588

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Bernard G Taylor, MD

  • Pulmonary Disease Physician
  • Peoria, IL
  • NPI 1558334557
  Authorized official Same address or phone

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1699748038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E MOSSVILLE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159793",
            "telephone_number": "309-645-8588",
            "fax_number": "309-579-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "309-645-8588",
            "fax_number": "309-579-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS PULMONARY & CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-645-8588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053087",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "212629",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Alexander Barrios, PEDORTHIST
• Joleen Alexis Bice, CLC
• Blanco Kays Corgiat Eyecare, LLC
• Stacy Bland, MSW, LCSW
• Jessica Ann Brown, RD
• Janet M Cetwinski, OTA/L
• Michael Joseph Condon, DC
• Mario E Cote, M.D.
• Marilyn Csernus, LD,CDE,MS,RD
• David W. Johnson (Johnson's Pharmacy)

• Pulmonary Disease Physician in Spring Valley, IL
• Providers in Spring Valley, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.