Med-Peds Associates,P.C. in Kankakee - Internal Medicine

Med-Peds Associates,P.C. - NPI 1063538312

Med-Peds Associates,P.C. is a Internal Medicine in Kankakee, Illinois. Med-Peds Associates,P.C. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Med-Peds Associates,P.C. is 1063538312. The last update date is 2010-10-20.

Med-Peds Associates,P.C.'s current location address is 375 N Wall St, Kankakee, Illinois. You can contact this provider via phone number 8159330194 and fax number 8159331444. The mailing address for Med-Peds Associates,P.C. is 375 N Wall St, Kankakee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Med-Peds Associates,P.C.
Address 375 N Wall St, Kankakee, Illinois
Phone Number 8159330194
Fax Number 8159331444
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mccuiston Stonewall
Credentials M.D.
Telephone Number 8159330194

NPI Number Detail

NPI Number 1063538312
Provider Enumeration Date 2007-03-21
Last Updated Date 2010-10-20

Provider Mailing Address Detail

Address 375 N Wall St
City Kankakee
State Illinois (IL)
Post Code 609013483
Phone Number 8159330194
Fax Number 8159331444

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36074737
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
36074737 IL --
4623239 IL BLUE CROSS/BLUE SHIELD OF ILLI

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FAQs about Med-Peds Associates,P.C.

What is the unique identifier code issued to Med-Peds Associates,P.C. by the Centers for Medicare & Medicaid Services?

The Med-Peds Associates,P.C. has been assigned the NPI (National Provider Identifier) 1063538312. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Med-Peds Associates,P.C. is geographically located?

The Med-Peds Associates,P.C. is physically situated at the following location: 375 N Wall St, Kankakee, IL, 609013483.

What is the Med-Peds Associates,P.C.'s area of specialization and corresponding taxonomy classification?

The Med-Peds Associates,P.C.'s specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063538312 to Med-Peds Associates,P.C.?

The Centers for Medicare & Medicaid Services originally issued the 1063538312 to Med-Peds Associates,P.C. on 2007-03-21.

As of what date were the Med-Peds Associates,P.C.'s details last updated?

The information pertaining to the Med-Peds Associates,P.C., including its address, specialty, and other details, was most recently updated on 2010-10-20.

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