David P Chan is a Pediatric Cardiology in Peoria, Illinois. David P Chan practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for David P Chan is 1427057595. The last update date is 2022-03-30.
David P Chan's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553453 and fax number 3096553410. The mailing address for David P Chan is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David P Chan |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553453 |
| Fax Number | 3096553410 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427057595 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2022-03-30 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096553453 |
| Fax Number | 3096553410 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | 35 063194 |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107855000 | WV | -- | |
| 883147 | OH | -- | |
| 6493002700 | KY | -- | |
| 216946 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to David P Chan by the Centers for Medicare & Medicaid Services?
The David P Chan has been assigned the NPI (National Provider Identifier) 1427057595. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David P Chan is physically located?
The David P Chan is situated at the following address: 420 Ne Glen Oak Ave, Peoria, IL 616370001.
What is David P Chan's specialized field of practice, and what is the corresponding taxonomy classification code?
The David P Chan's area of specialization is Pediatric Cardiology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0202X.
On what date was the 1427057595 assigned to David P Chan?
The David P Chan was issued its 1427057595 on 2005-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the David P Chan receive the assignment of its 1427057595 from the Centers for Medicare & Medicaid Services?
The David P Chan was issued its 1427057595 by the Centers for Medicare & Medicaid Services on 2005-07-20.