Peoria Obstetrics & Gynecology, S.C. in Peoria - Obstetrics & Gynecology
Peoria Obstetrics & Gynecology, S.C. - NPI 1477672020
Peoria Obstetrics & Gynecology, S.C. is a Obstetrics & Gynecology in Peoria, Illinois. Peoria Obstetrics & Gynecology, S.C. practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Peoria Obstetrics & Gynecology, S.C. is 1477672020. The last update date is 2009-01-26.
Peoria Obstetrics & Gynecology, S.C.'s current location address is 900 Main St Ste 660, Peoria, Illinois. You can contact this provider via phone number 3096874230 and fax number 3092727704. The mailing address for Peoria Obstetrics & Gynecology, S.C. is 900 Main St Ste 660, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peoria Obstetrics & Gynecology, S.C. |
|---|---|
| Address | 900 Main St Ste 660, Peoria, Illinois |
| Phone Number | 3096874230 |
| Fax Number | 3092727704 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Clark M Paula |
| Telephone Number | 3096874242 |
NPI Number Detail
| NPI Number | 1477672020 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2009-01-26 |
Provider Mailing Address Detail
| Address | 900 Main St Ste 660 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021060 |
| Phone Number | 3096874230 |
| Fax Number | 3092727704 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 36084069 |
|
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36065639 | IL | -- | |
| 36108543 | IL | -- | |
| 36084069 | IL | -- | |
| 36098292 | IL | -- | |
| 36111906 | IL | -- | |
| 36044919 | IL | -- | |
| 36062138 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Peoria Obstetrics & Gynecology, S.C. by the Centers for Medicare & Medicaid Services?
The Peoria Obstetrics & Gynecology, S.C. has been assigned the NPI (National Provider Identifier) 1477672020 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Peoria Obstetrics & Gynecology, S.C. is physically located?
The Peoria Obstetrics & Gynecology, S.C. is situated at the following address: 900 Main St Ste 660, Peoria, IL 616021060.
What is Peoria Obstetrics & Gynecology, S.C.'s area of expertise and its corresponding taxonomy classification?
The Peoria Obstetrics & Gynecology, S.C.'s field of specialization is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1477672020 to Peoria Obstetrics & Gynecology, S.C.?
The Peoria Obstetrics & Gynecology, S.C. received its 1477672020 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.
When was the information regarding Peoria Obstetrics & Gynecology, S.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peoria Obstetrics & Gynecology, S.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-01-26.