Jacob Tony is a Neurology in Peoria, Illinois. Jacob Tony practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jacob Tony is 1881815488. The last update date is 2017-11-09.
Jacob Tony's current location address is 900 Main St Ste 250, Peoria, Illinois. You can contact this provider via phone number 3096724522. The mailing address for Jacob Tony is 900 Main St Ste 250, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Tony |
|---|---|
| Address | 900 Main St Ste 250, Peoria, Illinois |
| Phone Number | 3096724522 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881815488 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2017-11-09 |
Provider Mailing Address Detail
| Address | 900 Main St Ste 250 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616025006 |
| Phone Number | 3096724522 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 125-046927 |
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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 |
|---|---|---|---|
| 36119046 | IL | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jacob Tony by the Centers for Medicare & Medicaid Services?
The Jacob Tony has been assigned the NPI (National Provider Identifier) 1881815488. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jacob Tony is physically located?
The Jacob Tony is physically situated at the following address: 900 Main St Ste 250, Peoria, IL, 616025006.
What is Jacob Tony's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacob Tony is Neurology, and the taxonomy code that classifies this field of practice is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881815488 to Jacob Tony?
The Jacob Tony received its 1881815488 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details pertaining to Jacob Tony last refreshed?
The information related to the Jacob Tony, including its address, specialty, and other relevant details, was last updated on 2017-11-09.