Greg J Tudor is a Emergency Medicine in Peoria, Illinois. Greg J Tudor practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Greg J Tudor is 1356377626. The last update date is 2007-07-09.
Greg J Tudor's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096552553 and fax number 3096552602. The mailing address for Greg J Tudor is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg J Tudor |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096552553 |
| Fax Number | 3096552602 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356377626 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096552553 |
| Fax Number | 3096552602 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
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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 |
|---|---|---|---|
| 800810 | MEDICARE GROUP NO. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Greg J Tudor by the Centers for Medicare & Medicaid Services?
The Greg J Tudor has been issued the NPI (National Provider Identifier) 1356377626, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Greg J Tudor's physical address?
The Greg J Tudor is physically located at 530 Ne Glen Oak Ave, in the city of Peoria, IL, with the postal code 616370001.
What is the Greg J Tudor's specialty and taxonomy code?
The Greg J Tudor's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
On what date did Greg J Tudor receive its 1356377626 assignment from the Centers for Medicare & Medicaid Services?
The Greg J Tudor was assigned its 1356377626 on 2006-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Greg J Tudor, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greg J Tudor, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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