Peoria Integrative Medical Center Ltd in Peoria - Family Medicine
Peoria Integrative Medical Center Ltd - NPI 1699839985
Peoria Integrative Medical Center Ltd is a Family Medicine in Peoria, Illinois. Peoria Integrative Medical Center Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peoria Integrative Medical Center Ltd is 1699839985. The last update date is 2009-04-20.
Peoria Integrative Medical Center Ltd's current location address is 4930 N Executive Dr, Peoria, Illinois. You can contact this provider via phone number 3096836002 and fax number 3096836007. The mailing address for Peoria Integrative Medical Center Ltd is 4930 N Executive Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peoria Integrative Medical Center Ltd |
|---|---|
| Address | 4930 N Executive Dr, Peoria, Illinois |
| Phone Number | 3096836002 |
| Fax Number | 3096836007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Xie Yang |
| Credentials | M.D. |
| Telephone Number | 3096367302 |
NPI Number Detail
| NPI Number | 1699839985 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2009-04-20 |
Provider Mailing Address Detail
| Address | 4930 N Executive Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144894 |
| Phone Number | 3096836002 |
| Fax Number | 3096836007 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36114042 |
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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 |
|---|---|---|---|
| 36114042 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peoria Integrative Medical Center Ltd?
The Peoria Integrative Medical Center Ltd has been issued the NPI (National Provider Identifier) 1699839985 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Peoria Integrative Medical Center Ltd is geographically located?
The Peoria Integrative Medical Center Ltd is physically situated at the following location: 4930 N Executive Dr, Peoria, IL, 616144894.
What is the Peoria Integrative Medical Center Ltd's specialty and taxonomy code?
The Peoria Integrative Medical Center Ltd's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699839985 to Peoria Integrative Medical Center Ltd?
The Peoria Integrative Medical Center Ltd received its 1699839985 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date was the information regarding Peoria Integrative Medical Center Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peoria Integrative Medical Center Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-20.
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