Central Illinois Pediatrics LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036066126 Issued in IL

Legal business name

CENTRAL ILLINOIS PEDIATRICS LTD

Practice address

900 W Temple Ave Ste 203
Effingham, IL 62401-2187

Phone

(217) 342-5405

Fax

(217) 342-5564

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. William L Eckstein, MD

Title

President

Phone

(217) 342-5405

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1801240494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 203",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012187",
            "telephone_number": "217-342-5405",
            "fax_number": "217-342-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 203",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012187",
            "telephone_number": "217-342-5405",
            "fax_number": "217-342-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ECKSTEIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-342-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036066126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "015857",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066126",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "167190",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2507249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Carroll, MHP
• Larry J Carroll, CRNA, APN
• Jennifer Marie Castillo
• Central Illinois Oral & Maxillofacial Surgery
• Central Illinois Oral and Maxillofacial Surgery, PC
• Central Illinois Pediatrics, LTD
• Cep America Illinois Intensivists
• Cep America-Illinois Hospitalists
• Cepamerica Illinois LLP
• Asim Nazir Cheema, MD

• Pediatrics Physician in Effingham, IL
• Providers in Effingham, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.