Parkview Ear, Nose & Throat Clinic, S.C. in Pekin - Plastic Surgery Within The Head & Neck
Parkview Ear, Nose & Throat Clinic, S.C. - NPI 1942310081
Parkview Ear, Nose & Throat Clinic, S.C. is a Plastic Surgery Within The Head & Neck in Pekin, Illinois. Parkview Ear, Nose & Throat Clinic, S.C. practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Parkview Ear, Nose & Throat Clinic, S.C. is 1942310081. The last update date is 2020-08-22.
Parkview Ear, Nose & Throat Clinic, S.C.'s current location address is 112 Park Ridge Ln, Pekin, Illinois. You can contact this provider via phone number 3093475946 and fax number 3093472755. The mailing address for Parkview Ear, Nose & Throat Clinic, S.C. is 112 Park Ridge Ln, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkview Ear, Nose & Throat Clinic, S.C. |
|---|---|
| Address | 112 Park Ridge Ln, Pekin, Illinois |
| Phone Number | 3093475946 |
| Fax Number | 3093472755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Podzimek Jana |
| Credentials | D.O. |
| Telephone Number | 3093475946 |
NPI Number Detail
| NPI Number | 1942310081 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 112 Park Ridge Ln |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 615543900 |
| Phone Number | 3093475946 |
| Fax Number | 3093472755 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9032056 | IL | BLUE SHEILD PROVIDER # | |
| IL101 | IL | JOHN DEERE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Parkview Ear, Nose & Throat Clinic, S.C. by the Centers for Medicare & Medicaid Services?
The Parkview Ear, Nose & Throat Clinic, S.C. has been issued the NPI (National Provider Identifier) 1942310081 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Parkview Ear, Nose & Throat Clinic, S.C. located?
The Parkview Ear, Nose & Throat Clinic, S.C. is located at 112 Park Ridge Ln, Pekin, IL 615543900.
What is Parkview Ear, Nose & Throat Clinic, S.C.'s area of expertise and its corresponding taxonomy classification?
The Parkview Ear, Nose & Throat Clinic, S.C.'s field of specialization is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1942310081 to Parkview Ear, Nose & Throat Clinic, S.C.?
The Centers for Medicare & Medicaid Services assigned the 1942310081 to Parkview Ear, Nose & Throat Clinic, S.C. on 2006-08-30.
When was the information regarding Parkview Ear, Nose & Throat Clinic, S.C. most recently updated?
The details pertaining to the Parkview Ear, Nose & Throat Clinic, S.C., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.