IndividualActive
Stephanie Van Ulft, M. D.
NPI 1780670109 · Geriatric Psychiatry Physician · Springfield, IL
Provider details
- NPI number
- 1780670109
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036101761 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
901 W Jefferson St
Springfield, IL 62702-4833
Phone: (217) 545-8000
Fax: (217) 545-2275
Approximate (ZIP-level) locationGet directions
Mailing address
901 W Jefferson St
Springfield, IL 62702-4833
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2020-12-07
- Certified
- 2020-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.