Timothy Drew is a Clinical in Peoria, Illinois. Timothy Drew practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Drew is 1285711333. The last update date is 2007-07-08.
Timothy Drew's current location address is 7317 N Willow Lake Ct, Peoria, Illinois. You can contact this provider via phone number 3096837373 and fax number 3096914408. The mailing address for Timothy Drew is 7317 N Willow Lake Ct, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Drew |
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Address | 7317 N Willow Lake Ct, Peoria, Illinois |
Phone Number | 3096837373 |
Fax Number | 3096914408 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1285711333 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 7317 N Willow Lake Ct |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616148260 |
Phone Number | 3096837373 |
Fax Number | 3096914408 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 Timothy Drew's unique identification number?
The Timothy Drew has been assigned the NPI (National Provider Identifier) Number 1285711333 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Timothy Drew?
The Timothy Drew is situated at 7317 N Willow Lake Ct, in the city of Peoria, state of IL, with the zip code 616148260.
What is the Timothy Drew's area of specialization and corresponding taxonomy classification?
The Timothy Drew's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Timothy Drew receive the assignment of its 1285711333 from the Centers for Medicare & Medicaid Services?
The Timothy Drew was issued its 1285711333 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Timothy Drew most recently updated or revised?
The information pertaining to Timothy Drew, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.