OrganizationActive
Illinois Department of Public Health
NPI 1992925580 · Clinical Medical Laboratory · Springfield, IL
Provider details
- NPI number
- 1992925580
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Eric Whitaker, Director(312) 814-5278
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
825 N Rutledge St
Springfield, IL 62702-4910
Phone: (217) 782-6562
Fax: (217) 524-7924
Street-level locationGet directions
Mailing address
535 W Jefferson St
Springfield, IL 62761-0001
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.