Clinical Pathologists of Central Illinois, S.C.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C.

Practice address

701 N 1St St
Springfield, IL 62781-0001

Phone

(217) 522-7004

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Shevlin, M.D.

Title

President

Phone

(217) 522-7004

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1700812047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5987",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975987",
            "telephone_number": "217-522-7004"
        },
        {
            "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": "627810001",
            "telephone_number": "217-522-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "SHEVLIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-522-7004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08423059",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Cleveland, MD
• Catherine Clevenger, LCSW
• Lauren Clevenger, LPC
• Clinical Counseling Group & Dui Providers, LLC
• Clinical Counseling, LTD
• Clinical Radiologists, S.C.
• Clinical Radiologists, S.C.
• Clinical Radiologists, S.C.
• Clinical Systems, Inc.
• Anyka Abegail Clouden- James, MD

• Clinical Pathology/Laboratory Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.