MEDICARE: SPRINGFIELD CLINIC LLP

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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1073228664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD CLINIC LLP

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	:	1000 W MORTON AVE
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-3152
Country	:	US
Telephone Number	:	217-243-6520
Fax Number	:

Authorized Official
Title or Position	:	CHIEF DEVELOPMENT OFFICER
Name	:	CAL ROBERT THOMAS
Credential	:
Telephone Number	:	217-528-7541

Provider Enumeration Date	:	01/18/2023
Last Update Date	:	12/26/2025

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Directions to “SPRINGFIELD CLINIC LLP ” Practice Location

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