Edward A Rufus Jr in Peoria - Internal Medicine

Edward A Rufus Jr - NPI 1871597450

Edward A Rufus Jr is a Internal Medicine in Peoria, Illinois. Edward A Rufus Jr practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward A Rufus Jr is 1871597450. The last update date is 2009-10-14.

Edward A Rufus Jr's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096917890 and fax number 3096917898. The mailing address for Edward A Rufus Jr is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward A Rufus Jr
Address 5401 N Knoxville Ave, Peoria, Illinois
Phone Number 3096917890
Fax Number 3096917898
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1871597450
Provider Enumeration Date 2005-06-10
Last Updated Date 2009-10-14

Provider Mailing Address Detail

Address 5401 N Knoxville Ave
City Peoria
State Illinois (IL)
Post Code 6161450980
Phone Number 3096917890
Fax Number 3096917898

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36073126
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36073126 IL --
7200599 IL BLUE CROSS BLUE SHIELD

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FAQs about Edward A Rufus Jr

What is the unique identifier code issued to Edward A Rufus Jr by the Centers for Medicare & Medicaid Services (CMS)?

The Edward A Rufus Jr has been assigned the NPI (National Provider Identifier) 1871597450. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Edward A Rufus Jr's facilities are geographically located?

The facilities of Edward A Rufus Jr are physically situated at the following location: 5401 N Knoxville Ave, Peoria, IL, 6161450980.

What is the area of specialization for Edward A Rufus Jr, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Edward A Rufus Jr is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did Edward A Rufus Jr receive its 1871597450 assignment from the Centers for Medicare & Medicaid Services?

The Edward A Rufus Jr was assigned its 1871597450 on 2005-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Edward A Rufus Jr most recently updated?

The details pertaining to the Edward A Rufus Jr, including its address, specialty, and other relevant information, were last refreshed on 2009-10-14.

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