Search › Illinois › 208C00000X
Bryan Mistretta, DO
NPI 1932722006 · on the registry since 2020
Practice
- Address
- 315 W Carpenter St
Springfield, IL 62702 - Phone
- (217) 545-8000
- Fax
- (217) 545-0952
- Organisation at this address
- Siu Physicians & Surgeons, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 42
Additional practice sites
- 701 N 1st St Ste D327, Springfield, IL
Registry record
- Primary taxonomy
- 208C00000X
208C00000X
- Also registered as
- 208600000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois