Matthew Joseph Mischler in Peoria - Internal Medicine
Matthew Joseph Mischler - NPI 1174747885
Matthew Joseph Mischler is a Internal Medicine in Peoria, Illinois. Matthew Joseph Mischler practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Matthew Joseph Mischler is 1174747885. The last update date is 2008-09-26.
Matthew Joseph Mischler's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096248818 and fax number 3096248820. The mailing address for Matthew Joseph Mischler is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Joseph Mischler |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096248818 |
| Fax Number | 3096248820 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174747885 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096248818 |
| Fax Number | 3096248820 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301081766 |
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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 |
|---|---|---|---|
| 809840 | IL | MEDICARE GROUP PTAN | |
| 36121322 | IL | -- | |
| P00617104 | IL | RR MEDICARE GROUP MEMBER PTAN | |
| CA4079 | IL | RR MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the Matthew Joseph Mischler's 1174747885?
The Matthew Joseph Mischler's NPI (National Provider Identifier) Number is 1174747885. 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 Matthew Joseph Mischler's facilities are situated?
The facilities of Matthew Joseph Mischler are physically located at the following address: 530 Ne Glen Oak Ave, Peoria, IL, 616370001.
What is Matthew Joseph Mischler's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew Joseph Mischler's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Matthew Joseph Mischler receive the assignment of its 1174747885 from the Centers for Medicare & Medicaid Services?
The Matthew Joseph Mischler was issued its 1174747885 by the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the Matthew Joseph Mischler's details last updated?
The information pertaining to the Matthew Joseph Mischler, including its address, specialty, and other details, was most recently updated on 2008-09-26.