Penelope A Ewbank in Peoria - Allergy & Immunology
Penelope A Ewbank - NPI 1558358911
Penelope A Ewbank is a Allergy & Immunology in Peoria, Illinois. Penelope A Ewbank practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Penelope A Ewbank is 1558358911. The last update date is 2021-07-08.
Penelope A Ewbank's current location address is 6615 N Big Hollow Rd, Peoria, Illinois. You can contact this provider via phone number 3096915200 and fax number 3096915201. The mailing address for Penelope A Ewbank is 6615 N Big Hollow Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penelope A Ewbank |
|---|---|
| Address | 6615 N Big Hollow Rd, Peoria, Illinois |
| Phone Number | 3096915200 |
| Fax Number | 3096915201 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558358911 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2021-07-08 |
Provider Mailing Address Detail
| Address | 6615 N Big Hollow Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61615 |
| Phone Number | 3096915200 |
| Fax Number | 3096915201 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 36104932 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36104932 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Penelope A Ewbank by the Centers for Medicare & Medicaid Services?
The Penelope A Ewbank has been assigned the NPI (National Provider Identifier) 1558358911. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Penelope A Ewbank's physical address?
The Penelope A Ewbank is physically located at 6615 N Big Hollow Rd, in the city of Peoria, IL, with the postal code 61615.
What is the Penelope A Ewbank's area of specialization and corresponding taxonomy classification?
The Penelope A Ewbank's specialty field is Allergy & Immunology, and it falls under the taxonomy code 207K00000X, which categorizes healthcare providers based on their specialties.
On what date did Penelope A Ewbank receive its 1558358911 assignment from the Centers for Medicare & Medicaid Services?
The Penelope A Ewbank was assigned its 1558358911 on 2005-09-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Penelope A Ewbank most recently updated?
The details pertaining to the Penelope A Ewbank, including its address, specialty, and other relevant information, were last refreshed on 2021-07-08.
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