Patrick L Wyffels, Md, Ltd in Peoria - Specialist

Patrick L Wyffels, Md, Ltd - NPI 1518146380

Patrick L Wyffels, Md, Ltd is a Specialist in Peoria, Illinois. Patrick L Wyffels, Md, Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Patrick L Wyffels, Md, Ltd is 1518146380. The last update date is 2007-10-30.

Patrick L Wyffels, Md, Ltd'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, Md, Ltd is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Patrick L Wyffels, Md, Ltd
Address 5401 N Knoxville Ave, Peoria, Illinois
Phone Number 3095890600
Fax Number 3095890602
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wyffels Lynn Patrick
Credentials M.D.
Telephone Number 3095890600

NPI Number Detail

NPI Number 1518146380
Provider Enumeration Date 2007-10-30
Last Updated Date 2007-10-30

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
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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FAQs about Patrick L Wyffels, Md, Ltd

What is the unique 10-digit identifier code assigned to Patrick L Wyffels, Md, Ltd by the Centers for Medicare & Medicaid Services?

The Patrick L Wyffels, Md, Ltd has been issued the NPI (National Provider Identifier) 1518146380 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Patrick L Wyffels, Md, Ltd is located?

The Patrick L Wyffels, Md, Ltd is situated at the following address: 5401 N Knoxville Ave, Peoria, IL, 616145098.

What is Patrick L Wyffels, Md, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patrick L Wyffels, Md, Ltd'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 assign the 1518146380 to Patrick L Wyffels, Md, Ltd?

The Centers for Medicare & Medicaid Services assigned the 1518146380 to Patrick L Wyffels, Md, Ltd on 2007-10-30.

When was the information pertaining to Patrick L Wyffels, Md, Ltd most recently updated or revised?

The details related to Patrick L Wyffels, Md, Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.

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