Renaldo A Jacques in Peoria - Family Medicine
Renaldo A Jacques - NPI 1477528974
Renaldo A Jacques is a Family Medicine in Peoria, Illinois. Renaldo A Jacques practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Renaldo A Jacques is 1477528974. The last update date is 2011-12-28.
Renaldo A Jacques's current location address is 1701 W. Garden Street, Peoria, Illinois. You can contact this provider via phone number 3096807600 and fax number 3096765506. The mailing address for Renaldo A Jacques is 1701 W. Garden Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renaldo A Jacques |
|---|---|
| Address | 1701 W. Garden Street, Peoria, Illinois |
| Phone Number | 3096807600 |
| Fax Number | 3096765506 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477528974 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2011-12-28 |
Provider Mailing Address Detail
| Address | 1701 W. Garden Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616053531 |
| Phone Number | 3096807600 |
| Fax Number | 3096765506 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36081670 |
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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 |
|---|---|---|---|
| 36081670 | IL | -- |
Post Comment/ Review Below
What is the Renaldo A Jacques's 1477528974?
The Renaldo A Jacques's NPI (National Provider Identifier) Number is 1477528974. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Renaldo A Jacques's facilities are situated?
The facilities of Renaldo A Jacques are physically located at the following address: 1701 W. Garden Street, Peoria, IL, 616053531.
What is the Renaldo A Jacques's specialty and taxonomy code?
The Renaldo A Jacques's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477528974 to Renaldo A Jacques?
The Renaldo A Jacques received its 1477528974 assignment from the Centers for Medicare & Medicaid Services on 2006-02-20.
As of what date was the information pertaining to Renaldo A Jacques, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Renaldo A Jacques, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-28.
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