Patrick L Wyffels is a Specialist in Peoria, Illinois. Patrick L Wyffels practices all healthcare services and medical treatments related to Specialist. The NPI Number for Patrick L Wyffels is 1588726608. The last update date is 2007-12-07.
Patrick L Wyffels's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3095890600 and fax number 3095890602. The mailing address for Patrick L Wyffels is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick L Wyffels |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3095890600 |
| Fax Number | 3095890602 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588726608 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3095890600 |
| Fax Number | 3095890602 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36063794 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7200634 | IL | BLUECROSS BLUESHIELD | |
| 36063794 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Patrick L Wyffels?
The Patrick L Wyffels has been issued the NPI (National Provider Identifier) 1588726608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Patrick L Wyffels is physically located?
The Patrick L Wyffels is physically situated at the following address: 5401 N Knoxville Ave, Peoria, IL, 616145098.
What is Patrick L Wyffels's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patrick L Wyffels's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588726608 to Patrick L Wyffels?
The Patrick L Wyffels received its 1588726608 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the Patrick L Wyffels's information last updated?
The Patrick L Wyffels's information was last updated on 2007-12-07.