IndividualActive
John Sutyak, M.D.
NPI 1679569172 · Surgical Critical Care Physician · Springfield, IL
Provider details
- NPI number
- 1679569172
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-104455 (IL)
Practice location
747 N Rutledge St Fl 2
Springfield, IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7795
Mailing address
Po Box 19639
Springfield, IL 62794-9639
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.