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SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
NPI 1851731640
Special Hospital in Springfield, IL

Active since June 26, 2013CLIA 14D2033524 · Waiver
701 N 1ST ST, ROOM D443, SPRINGFIELD, IL 62702(217) 545-0193 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Illinois University School Of Medicine NPPES

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

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE (NPI 1851731640) is a healthcare organization registered as a special hospital in Springfield, Illinois and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Andrew Verney, Program Director, as its authorized official.

NPPES Registry Identity

NPI1851731640
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Location Address701 N 1ST ST, ROOM D443Springfield, IL 62702-3757
Mailing Address701 North First StreetSpringfield, IL 62712
Phone(217) 545-0193
Organization SubpartNo
Authorized OfficialAndrew VerneyProgram Director · (217) 545-0193
Enumeration DateJune 26, 2013
✔ NPI 1851731640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
License✔ Licensed in IL · 125063931
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
701 N 1ST ST, Springfield, IL 62702
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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 14D2033524

Southern Illinois University School Of Medicine Center For Clinical Research · Springfield, IL
Active · expires Dec 4, 2027
CLIA Number14D2033524
Laboratory TypeUniverstiy Laboratory
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorJoseph C. Milbrandt
Laboratory Phone(217) 545-6671
Laboratory LocationSouthern Illinois University School Of Medicine Center For Clinical Research201 E Madison St, Rm 256, Springfield, IL 62702
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 20

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

RYAN MCCARTY M.D.
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
CHRISTOPHER INABNIT M.D.
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3518
KELLY GALANOS M.D.
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3518
DR. SHREYA LANKALA M.D.
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3518
LEIGHANNE BONNETT APRN
Nurse Practitioner (Acute Care)
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
ANDREW CORKERY
Internal Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MICHAEL SEYUN KIM
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3518
DR. MATTHEW EDWARD ALBRECHT M.D.
Emergency Medicine
701 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3518

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 Southern Illinois University School Of Medicine's NPI number?

The NPI number for Southern Illinois University School Of Medicine is 1851731640. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Southern Illinois University School Of Medicine located?

Southern Illinois University School Of Medicine is located at 701 N 1st St Room D443, Springfield, IL 62702. The listed phone number is (217) 545-0193.

What is Southern Illinois University School Of Medicine's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does Southern Illinois University School Of Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2033524) is associated with this NPI, valid through December 4, 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 Southern Illinois University School Of Medicine was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.