David R. Charles in Peoria - Cardiovascular Disease
David R. Charles - NPI 1841499902
David R. Charles is a Cardiovascular Disease in Peoria, Illinois. David R. Charles practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for David R. Charles is 1841499902. The last update date is 2015-01-21.
David R. Charles's current location address is 5405 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096914410 and fax number 3096924730. The mailing address for David R. Charles is 5405 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | David R. Charles |
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Address | 5405 N Knoxville Ave, Peoria, Illinois |
Phone Number | 3096914410 |
Fax Number | 3096924730 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1841499902 |
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Provider Enumeration Date | 2007-07-17 |
Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
Address | 5405 N Knoxville Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616145016 |
Phone Number | 3096914410 |
Fax Number | 3096924730 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | 36128090 |
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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What is the unique identifier code issued to David R. Charles by the Centers for Medicare & Medicaid Services?
The David R. Charles has been assigned the NPI (National Provider Identifier) 1841499902. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the David R. Charles located?
The David R. Charles is located at 5405 N Knoxville Ave, Peoria, IL 616145016.
What is the David R. Charles's specialty and taxonomy code?
The David R. Charles's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the David R. Charles receive the assignment of its 1841499902 from the Centers for Medicare & Medicaid Services?
The David R. Charles was issued its 1841499902 by the Centers for Medicare & Medicaid Services on 2007-07-17.
As of what date were the David R. Charles's details last updated?
The information pertaining to the David R. Charles, including its address, specialty, and other details, was most recently updated on 2015-01-21.