SOUTHERN ILLINOIS NEUROLOGIC INSTITUTE
NPI 1629190657
Specialist in Belleville, IL

NPI Status: Active since April 03, 2007

Contact Information

100 N JACKSON ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 239-6660
Fax: (618) 239-6662

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  • Organization
  • Specialist

About SOUTHERN ILLINOIS NEUROLOGIC INSTITUTE

Southern Illinois Neurologic Institute is a provider established in Belleville, Illinois operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1629190657 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 36078383 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Guy Timothy Burrows M.d. (Owner)

NPI
1629190657
Provider Name
SOUTHERN ILLINOIS NEUROLOGIC INSTITUTE
Entity Type
Organization
Location Address
100 N JACKSON ST BELLEVILLE, IL 62220
Location Phone
(618) 239-6660
Location Fax
(618) 239-6662
Mailing Address
100 N JACKSON ST BELLEVILLE, IL 62220
Mailing Phone
(618) 239-6660
Mailing Fax
(618) 239-6662
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2007
Last Update Date
07-02-2008
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
36078383
License State
IL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid

  • Railroad Medicare

  • Blue Cross Blue Shield


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GUY TIMOTHY BURROWS M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(618) 239-6660

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
396510MEDICARE PIN (08)IL 
130015602OTHER (01)ILRAILROAD MEDICARE
G37723MEDICARE UPIN (02)IL 
08207706OTHER (01)ILBLUE CROSS BLUE SHIELD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629190657
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649290610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 9 + 0 + 6 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1629190657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629190657, enumerated in the NPI registry as an "organization" on April 03, 2007

The provider is located at 100 N Jackson St Belleville, Il 62220 and the phone number is (618) 239-6660

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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