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STATEN FAMILY PRACTICE PLLC
NPI 1407474083
Clinic/Center in Gillespie, IL

Active since July 09, 2020
500 W VIRGINIA AVE, GILLESPIE, IL 62033(217) 851-5270 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Staten Family Practice Pllc NPPES

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

STATEN FAMILY PRACTICE PLLC (NPI 1407474083) is a healthcare organization registered as a clinic/center in Gillespie, Illinois and active in the NPI registry since July 2020. The organization lists Rosemary Staten, Aprn, as its authorized official.

NPPES Registry Identity

NPI1407474083
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTATEN FAMILY PRACTICE PLLC
Location Address500 W VIRGINIA AVEGillespie, IL 62033-1025
Mailing Address500 W Virginia AveGillespie, IL 62033-1025 · (217) 851-5270
Phone(217) 851-5270
Organization SubpartNo
Authorized OfficialRosemary StatenAprn · (217) 851-5270
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1407474083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
500 W VIRGINIA AVE, Gillespie, IL 62033
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Other Names 1

Other NameStaten Family Practice Pllc

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 Staten Family Practice PLLC's NPI number?

The NPI number for Staten Family Practice PLLC is 1407474083. It was assigned to this organization in the NPPES registry on July 9, 2020.

Where is Staten Family Practice PLLC located?

Staten Family Practice PLLC is located at 500 W Virginia Ave, Gillespie, IL 62033. The listed phone number is (217) 851-5270.

What is Staten Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Staten Family Practice PLLC was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.