Provider Demographics
NPI:1215598891
Name:VERO CLINICS INC
Entity Type:Organization
Organization Name:VERO CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GYNECOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:217-620-5542
Mailing Address - Street 1:1192 E PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-4753
Mailing Address - Country:US
Mailing Address - Phone:217-615-1144
Mailing Address - Fax:
Practice Address - Street 1:1192 E PERSHING RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-4753
Practice Address - Country:US
Practice Address - Phone:217-615-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1467934893Medicaid
IL357822242001Medicaid
IL1215598891Medicaid
IL1134103070Medicaid