Dean A Gravlin is a Internal Medicine in Peoria, Illinois. Dean A Gravlin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dean A Gravlin is 1053315861. The last update date is 2012-08-17.
Dean A Gravlin's current location address is 200 E Pennsylvania Ave, Peoria, Illinois. You can contact this provider via phone number 3096557888. The mailing address for Dean A Gravlin is 200 E Pennsylvania Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean A Gravlin |
|---|---|
| Address | 200 E Pennsylvania Ave, Peoria, Illinois |
| Phone Number | 3096557888 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053315861 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2012-08-17 |
Provider Mailing Address Detail
| Address | 200 E Pennsylvania Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 6160330450 |
| Phone Number | 3096557888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36057930 |
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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 |
|---|---|---|---|
| 36057930 | IL | -- |
Post Comment/ Review Below
What is the Dean A Gravlin's 1053315861?
The Dean A Gravlin's NPI (National Provider Identifier) Number is 1053315861. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dean A Gravlin's physical address?
The Dean A Gravlin is physically located at 200 E Pennsylvania Ave, in the city of Peoria, IL, with the postal code 6160330450.
What is the area of specialization for Dean A Gravlin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dean A Gravlin is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
When did Dean A Gravlin receive its 1053315861 assignment?
The Dean A Gravlin was assigned its 1053315861 on 2005-06-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Dean A Gravlin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dean A Gravlin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-17.