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

Gary Hendricks, MD

Individual provider Emergency Medicine Physician · NPI 1770105249

Gary Hendricks, MD is an Emergency Medicine in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with Passavant Memorial Area Hospital Association, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 N 1st St
Springfield, IL 62781-3757
Phone: (217) 788-3156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.165238 (IL)

Record details

NPI number1770105249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2020
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing addressPo Box 19679, Springfield, IL 62794-9679

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Passavant Memorial Area Hospital Association — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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