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1356879068

NPI Code Detail

MEDICARE: LINDSEY ANN HARDEN ATWOOD MD

MEDICARE: LINDSEY ANN HARDEN ATWOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036162722	IL
2	208000000X	Pediatrics Physician	036162722	IL
3	208D00000X	General Practice Physician	01086120A	IN

General Provider Information

NPI Number	:	1356879068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY ANN HARDEN ATWOOD MD

Provider Business Mailing Address
First Line	:	PO BOX 19248
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9248
Country	:	US
Telephone Number	:	217-528-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 S 6TH ST
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62703-2499
Country	:	US
Telephone Number	:	217-528-7541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	03/02/2026

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Directions to “ LINDSEY ANN HARDEN ATWOOD MD” Practice Location

Language	Start Address	Practice Location

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