Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Springfield Obstetric & Gynecologic Associates, SC

Organization Obstetrics & Gynecology Physician · NPI 1306822093

Springfield Obstetric & Gynecologic Associates, SC is an Obstetrics & Gynecology Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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Practice location Address checks out

350 W Carpenter St
Springfield, IL 62702-4902
Phone: (217) 525-0210
Fax: (217) 525-1007
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Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (IL)

Record details

NPI number1306822093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Bradley — President · (217) 525-0210
NPI enumeratedDecember 15, 2005
Last updated in NPPESAugust 22, 2020
Mailing address350 W Carpenter St, Springfield, IL 62702-4902

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