Lucille A Fendrick in Peoria - Emergency Medicine
Lucille A Fendrick - NPI 1982633202
Lucille A Fendrick is a Emergency Medicine in Peoria, Illinois. Lucille A Fendrick practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Lucille A Fendrick is 1982633202. The last update date is 2007-07-09.
Lucille A Fendrick'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 Lucille A Fendrick is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lucille A Fendrick |
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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 | 1982633202 |
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Provider Enumeration Date | 2006-06-30 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 530 Ne Glen Oak Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 6163700010 |
Phone Number | 3096552553 |
Fax Number | 3096552602 |
Provider's Primary Taxonomy Detail
Speciality | Emergency Medicine |
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Taxonomy | 207P00000X |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
800810 | MEDICARE GROUP NO. |
Post Comment/ Review Below
What is the Lucille A Fendrick's unique identification number?
The Lucille A Fendrick has been assigned the NPI (National Provider Identifier) Number 1982633202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lucille A Fendrick's facilities are situated?
The facilities of Lucille A Fendrick are physically located at the following address: 530 Ne Glen Oak Ave, Peoria, IL, 6163700010.
What is the area of specialization for Lucille A Fendrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lucille A Fendrick is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
When did the Lucille A Fendrick receive its 1982633202?
The Lucille A Fendrick was issued its 1982633202 on 2006-06-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Lucille A Fendrick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lucille A Fendrick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
NPI Number: 1699778829
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