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SPRINGFIELD CLINIC LLP
NPI 1255916078
Clinic/Center - Multi-Specialty in Peoria, IL

Active since March 12, 2021CLIA 14D2240591 · Waiver
1001 MAIN ST STE 300, PEORIA, IL 61606(309) 495-0200(309) 676-6545 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Springfield Clinic Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRINGFIELD CLINIC LLP (NPI 1255916078), doing business as Springfield Clinic Peoria, is a healthcare organization registered as a multi-specialty in Peoria, Illinois and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Christopher Michael Cousins, Vp, Managed Care & Ancillary Servic, as its authorized official.

NPPES Registry Identity

NPI1255916078
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSPRINGFIELD CLINIC LLP
Location Address1001 MAIN ST STE 300Peoria, IL 61606-2036
Mailing AddressPo Box 19284Springfield, IL 62794-9248 · (217) 528-7541
Phone(309) 495-0200
Fax(309) 676-6545
Organization SubpartYesParent: Sprinfield Clinic Llp
Authorized OfficialChristopher Michael CousinsVp, Managed Care & Ancillary Servic · (217) 528-7541
Enumeration DateMarch 12, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1255916078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1001 MAIN ST STE 300, Peoria, IL 61606
Open in Google Maps ↗

Other Names 1

Doing Business AsSpringfield Clinic Peoria

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2240591

Springfield Clinic Peoria North Knoxville · Peoria, IL
Active · expires Oct 19, 2027
CLIA Number14D2240591
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorSadia B. Ilahi
Laboratory Phone(217) 528-7571
Laboratory LocationSpringfield Clinic Peoria North Knoxville9128 N Lindbergh Dr, Peoria, IL 61615
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE HEAL
Nurse Practitioner
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0250
MRS. KAREN A COLLINS APN
Nurse Practitioner (Family)
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
GRETCHEN M EVANS D.P.M.
Podiatrist (Foot Surgery)
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 465-0200
DR. JACOB ROYLE HOPPING M.D.
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
DR. TYLER ANDREW EVANS M.D.
Plastic Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (217) 528-7541
EDITH JOY KEMP MS RD LD
Dietitian, Registered
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
DR. ROBIN A ALLEY MD
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
DR. ERIC MICHAEL COX M.D.
Surgery
1001 MAIN ST STE 300
PEORIA, IL 61606
Peoria County (309) 495-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Springfield Clinic LLP's NPI number?

The NPI number for Springfield Clinic LLP is 1255916078. It was assigned to this organization in the NPPES registry on March 12, 2021. The provider is doing business as Springfield Clinic Peoria.

Where is Springfield Clinic LLP located?

Springfield Clinic LLP is located at 1001 Main St Ste 300, Peoria, IL 61606. The listed phone number is (309) 495-0200.

What is Springfield Clinic LLP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Springfield Clinic LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2240591) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Springfield Clinic LLP was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.