Shinymol John Chacko in Peoria - Internal Medicine
Shinymol John Chacko - NPI 1487853156
Shinymol John Chacko is a Internal Medicine in Peoria, Illinois. Shinymol John Chacko practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shinymol John Chacko is 1487853156. The last update date is 2013-04-17.
Shinymol John Chacko's current location address is 7717 N Orange Prairie Rd, Peoria, Illinois. You can contact this provider via phone number 3095896800. The mailing address for Shinymol John Chacko is 7717 N Orange Prairie Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shinymol John Chacko |
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Address | 7717 N Orange Prairie Rd, Peoria, Illinois |
Phone Number | 3095896800 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1487853156 |
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Provider Enumeration Date | 2007-07-13 |
Last Updated Date | 2013-04-17 |
Provider Mailing Address Detail
Address | 7717 N Orange Prairie Rd |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616159323 |
Phone Number | 3095896800 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 4301075416 |
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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What is the Shinymol John Chacko's unique identification number?
The Shinymol John Chacko has been assigned the NPI (National Provider Identifier) Number 1487853156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shinymol John Chacko is geographically located?
The Shinymol John Chacko is physically situated at the following location: 7717 N Orange Prairie Rd, Peoria, IL, 616159323.
What is the area of specialization for Shinymol John Chacko, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shinymol John Chacko is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did Shinymol John Chacko receive its 1487853156 assignment from the Centers for Medicare & Medicaid Services?
The Shinymol John Chacko was assigned its 1487853156 on 2007-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shinymol John Chacko most recently updated or revised?
The details related to Shinymol John Chacko, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-17.