Peoria Urological Associates S.C in Peoria - Health Service
Peoria Urological Associates S.C - NPI 1538123468
Peoria Urological Associates S.C is a Health Service in Peoria, Illinois. Peoria Urological Associates S.C practices all healthcare services and medical treatments related to Health Service. The NPI Number for Peoria Urological Associates S.C is 1538123468. The last update date is 2020-08-22.
Peoria Urological Associates S.C's current location address is 7309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096929898. The mailing address for Peoria Urological Associates S.C is 7309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peoria Urological Associates S.C |
|---|---|
| Address | 7309 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096929898 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Banno Joseph |
| Credentials | M.D. |
| Telephone Number | 3096929898 |
NPI Number Detail
| NPI Number | 1538123468 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7309 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616142085 |
| Phone Number | 3096929898 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
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What is the unique provider identifier assigned to Peoria Urological Associates S.C?
The Peoria Urological Associates S.C has been issued the NPI (National Provider Identifier) 1538123468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Peoria Urological Associates S.C is geographically located?
The Peoria Urological Associates S.C is physically situated at the following location: 7309 N Knoxville Ave, Peoria, IL, 616142085.
What is Peoria Urological Associates S.C's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peoria Urological Associates S.C is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.
When was the Peoria Urological Associates S.C's 1538123468 issued?
The Peoria Urological Associates S.C's 1538123468 was issued on 2006-04-17.
When was the information pertaining to Peoria Urological Associates S.C most recently updated or revised?
The details related to Peoria Urological Associates S.C, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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