Edward W Pegg Md, Llc in Bloomington - Neurology
Edward W Pegg Md, Llc - NPI 1568667772
Edward W Pegg Md, Llc is a Neurology in Bloomington, Illinois. Edward W Pegg Md, Llc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Edward W Pegg Md, Llc is 1568667772. The last update date is 2008-05-29.
Edward W Pegg Md, Llc's current location address is 1505 Eastland Dr Ste 2400, Bloomington, Illinois. You can contact this provider via phone number 3096617344 and fax number 3096617343. The mailing address for Edward W Pegg Md, Llc is 1505 Eastland Dr Ste 2400, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward W Pegg Md, Llc |
|---|---|
| Address | 1505 Eastland Dr Ste 2400, Bloomington, Illinois |
| Phone Number | 3096617344 |
| Fax Number | 3096617343 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pegg W Edward |
| Credentials | MD |
| Telephone Number | 3096617344 |
NPI Number Detail
| NPI Number | 1568667772 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 1505 Eastland Dr Ste 2400 |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617017911 |
| Phone Number | 3096617344 |
| Fax Number | 3096617343 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 36071077 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5732102 | IL | BCBS | |
| 1043392160 | IL | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward W Pegg Md, Llc by the Centers for Medicare & Medicaid Services?
The Edward W Pegg Md, Llc has been issued the NPI (National Provider Identifier) 1568667772 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Edward W Pegg Md, Llc?
The Edward W Pegg Md, Llc is situated at 1505 Eastland Dr Ste 2400, in the city of Bloomington, state of IL, with the zip code 617017911.
What is Edward W Pegg Md, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edward W Pegg Md, Llc is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568667772 to Edward W Pegg Md, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1568667772 to Edward W Pegg Md, Llc on 2007-06-18.
When was the information related to Edward W Pegg Md, Llc most recently updated or refreshed?
The details pertaining to the Edward W Pegg Md, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-29.