Mary Ann Eichorn in Peoria Heights - Clinical
Mary Ann Eichorn - NPI 1063436657
Mary Ann Eichorn is a Clinical in Peoria Heights, Illinois. Mary Ann Eichorn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Ann Eichorn is 1063436657. The last update date is 2007-07-08.
Mary Ann Eichorn's current location address is 4700 N Prospect Rd, Peoria Heights, Illinois. You can contact this provider via phone number 3096791700 and fax number 3096790703. The mailing address for Mary Ann Eichorn is 4700 N Prospect Rd, Peoria Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann Eichorn |
|---|---|
| Address | 4700 N Prospect Rd, Peoria Heights, Illinois |
| Phone Number | 3096791700 |
| Fax Number | 3096790703 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063436657 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4700 N Prospect Rd |
|---|---|
| City | Peoria Heights |
| State | Illinois (IL) |
| Post Code | 616166451 |
| Phone Number | 3096791700 |
| Fax Number | 3096790703 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Mary Ann Eichorn by the Centers for Medicare & Medicaid Services?
The Mary Ann Eichorn has been issued the NPI (National Provider Identifier) 1063436657 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mary Ann Eichorn's physical address?
The Mary Ann Eichorn is physically located at 4700 N Prospect Rd, in the city of Peoria Heights, IL, with the postal code 616166451.
What is Mary Ann Eichorn's area of expertise and its corresponding taxonomy classification?
The Mary Ann Eichorn's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063436657 to Mary Ann Eichorn?
The Centers for Medicare & Medicaid Services originally issued the 1063436657 to Mary Ann Eichorn on 2006-07-27.
When was the information regarding Mary Ann Eichorn most recently updated?
The details pertaining to the Mary Ann Eichorn, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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