Mark Phillip Gaudio in Peoria - Emergency Medicine
Mark Phillip Gaudio - NPI 1053514414
Mark Phillip Gaudio is a Emergency Medicine in Peoria, Illinois. Mark Phillip Gaudio practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark Phillip Gaudio is 1053514414. The last update date is 2021-12-10.
Mark Phillip Gaudio's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096556710. The mailing address for Mark Phillip Gaudio is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Phillip Gaudio |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096556710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053514414 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2021-12-10 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096556710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 125-051037 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 809840 | IL | GROUP MEDICARE NUMBER | |
| 809840036 | IL | INDIVIDUAL MEDICARE NUMBER |
Post Comment/ Review Below
What is the Mark Phillip Gaudio's 1053514414?
The Mark Phillip Gaudio's NPI (National Provider Identifier) Number is 1053514414. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Phillip Gaudio?
The Mark Phillip Gaudio is physically situated at 530 Ne Glen Oak Ave, in the city of Peoria, state of IL, with the postal code 616370001.
What is Mark Phillip Gaudio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Phillip Gaudio's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053514414 to Mark Phillip Gaudio?
The Mark Phillip Gaudio received its 1053514414 assignment from the Centers for Medicare & Medicaid Services on 2007-06-05.
As of what date was the information pertaining to Mark Phillip Gaudio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Phillip Gaudio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-10.