Molly Diane Black in Peoria - Orthopaedic Surgery
Molly Diane Black - NPI 1932214251
Molly Diane Black is a Orthopaedic Surgery in Peoria, Illinois. Molly Diane Black practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Molly Diane Black is 1932214251. The last update date is 2022-01-21.
Molly Diane Black's current location address is 6000 N Allen Rd, Peoria, Illinois. You can contact this provider via phone number 3096911400. The mailing address for Molly Diane Black is 6000 N Allen Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Diane Black |
|---|---|
| Address | 6000 N Allen Rd, Peoria, Illinois |
| Phone Number | 3096911400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932214251 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2022-01-21 |
Provider Mailing Address Detail
| Address | 6000 N Allen Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616143294 |
| Phone Number | 3096911400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 036-123359 |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36123359 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Molly Diane Black by the Centers for Medicare & Medicaid Services?
The Molly Diane Black has been issued the NPI (National Provider Identifier) 1932214251, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Molly Diane Black's facilities are geographically located?
The facilities of Molly Diane Black are physically situated at the following location: 6000 N Allen Rd, Peoria, IL, 616143294.
What is the Molly Diane Black's specialty and taxonomy code?
The Molly Diane Black's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.
When did Molly Diane Black receive its 1932214251 assignment?
The Molly Diane Black was assigned its 1932214251 on 2006-08-19, which is the date when this unique identifier was issued to the organization.
When was the Molly Diane Black's information last updated?
The Molly Diane Black's information was last updated on 2022-01-21.
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