Mark Montefolka in Peoria Heights - Family Medicine
Mark Montefolka - NPI 1114026754
Mark Montefolka is a Family Medicine in Peoria Heights, Illinois. Mark Montefolka practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Montefolka is 1114026754. The last update date is 2007-07-09.
Mark Montefolka's current location address is 1120 E War Memorial Dr, Peoria Heights, Illinois. You can contact this provider via phone number 3096850100 and fax number 3096850172. The mailing address for Mark Montefolka is 1120 E War Memorial Dr, Peoria Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Montefolka |
|---|---|
| Address | 1120 E War Memorial Dr, Peoria Heights, Illinois |
| Phone Number | 3096850100 |
| Fax Number | 3096850172 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114026754 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1120 E War Memorial Dr |
|---|---|
| City | Peoria Heights |
| State | Illinois (IL) |
| Post Code | 61616 |
| Phone Number | 3096850100 |
| Fax Number | 3096850172 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36110139 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K09678 | IL | PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark Montefolka by the Centers for Medicare & Medicaid Services?
The Mark Montefolka has been assigned the NPI (National Provider Identifier) 1114026754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Mark Montefolka's facilities are geographically located?
The facilities of Mark Montefolka are physically situated at the following location: 1120 E War Memorial Dr, Peoria Heights, IL, 61616.
What is the Mark Montefolka's area of specialization and corresponding taxonomy classification?
The Mark Montefolka's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Mark Montefolka receive its 1114026754?
The Mark Montefolka was issued its 1114026754 on 2006-09-21, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark Montefolka most recently updated?
The details pertaining to the Mark Montefolka, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.