Organization Active NPI

Julio C. Vijil, Sr., M.D.

  • Surgery Physician
  • Springfield, IL
National Provider Identifier
1942481445
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JULIO C. VIJIL, SR., M.D.
Practice address
2901 Old Jacksonville Rd
Suite B3
Springfield, IL 62704-7437
Phone
(217) 698-8850
Fax
(217) 698-8904
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mrs. Betty F. McCarrel
Title
Office Manager
Phone
(217) 698-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X IL Primary

Addresses

Primary practice location

2901 Old Jacksonville Rd
Suite B3
Springfield, IL 62704-7437

Mailing address

2901 Old Jacksonville Rd
Suite B3
Springfield, IL 62704-7437
Phone (217) 698-8850

Other identifiers 1

IdentifierTypeStateIssuer
1467441550OtherILNPI

National Provider Directory

National Provider Directory

Locations

2901 Old Jacksonville Rd
Ste B3
Springfield, IL 62704
Phone (217) 698-8850

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1942481445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OLD JACKSONVILLE RD",
            "address_2": "SUITE B3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047437",
            "telephone_number": "217-698-8850",
            "fax_number": "217-698-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OLD JACKSONVILLE RD",
            "address_2": "SUITE B3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047437",
            "telephone_number": "217-698-8850",
            "fax_number": "217-698-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO C. VIJIL, SR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MCCARREL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-698-8850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467441550",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.