Provider Demographics
NPI:1679771844
Name:PILAPIL, ELENE S (MD)
Entity type:Individual
Prefix:
First Name:ELENE
Middle Name:S
Last Name:PILAPIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2580
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65801-2580
Mailing Address - Country:US
Mailing Address - Phone:417-829-4620
Mailing Address - Fax:417-829-4316
Practice Address - Street 1:3231 S NATIONAL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-7304
Practice Address - Country:US
Practice Address - Phone:417-888-5658
Practice Address - Fax:417-841-0104
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009014891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDP00640707/CH3740OtherMEDICARE RAILROAD
SDP00479661OtherRR MEDICARE
SD6005592Medicaid
MO1679771844Medicaid
SDP00640707/CH3740OtherMEDICARE RAILROAD
MO1679771844Medicaid