James Daniel Dewar in East Peoria - Internal Medicine
James Daniel Dewar - NPI 1013128222
James Daniel Dewar is a Internal Medicine in East Peoria, Illinois. James Daniel Dewar practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for James Daniel Dewar is 1013128222. The last update date is 2013-08-29.
James Daniel Dewar's current location address is 103 Woodbrook Ct, East Peoria, Illinois. You can contact this provider via phone number 3099221006. The mailing address for James Daniel Dewar is 103 Woodbrook Ct, East Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Daniel Dewar |
|---|---|
| Address | 103 Woodbrook Ct, East Peoria, Illinois |
| Phone Number | 3099221006 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1013128222 |
|---|---|
| Provider Enumeration Date | 2007-05-28 |
| Last Updated Date | 2013-08-29 |
Provider Mailing Address Detail
| Address | 103 Woodbrook Ct |
|---|---|
| City | East Peoria |
| State | Illinois (IL) |
| Post Code | 616114779 |
| Phone Number | 3099221006 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 125-049248 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36120002 | IL | -- | |
| CA4079 | IL | RR MEDICARE GROUP PTAN | |
| P00617111 | IL | RR MEDICARE GROUP MEMBER PTAN | |
| 809840 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Daniel Dewar by the Centers for Medicare & Medicaid Services?
The James Daniel Dewar has been issued the NPI (National Provider Identifier) 1013128222, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James Daniel Dewar's physical address?
The James Daniel Dewar is physically located at 103 Woodbrook Ct, in the city of East Peoria, IL, with the postal code 616114779.
What is the area of specialization for James Daniel Dewar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for James Daniel Dewar is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the James Daniel Dewar receive the assignment of its 1013128222 from the Centers for Medicare & Medicaid Services?
The James Daniel Dewar was issued its 1013128222 by the Centers for Medicare & Medicaid Services on 2007-05-28.
When was the information regarding James Daniel Dewar most recently updated?
The details pertaining to the James Daniel Dewar, including its address, specialty, and other relevant information, were last refreshed on 2013-08-29.
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