Mid Illini Surgical Associates Sc in Peoria - Surgery
Mid Illini Surgical Associates Sc - NPI 1093854002
Mid Illini Surgical Associates Sc is a Surgery in Peoria, Illinois. Mid Illini Surgical Associates Sc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mid Illini Surgical Associates Sc is 1093854002. The last update date is 2022-07-21.
Mid Illini Surgical Associates Sc's current location address is 900 Main Street, Peoria, Illinois. You can contact this provider via phone number 3096725975 and fax number 3096551678. The mailing address for Mid Illini Surgical Associates Sc is 900 Main Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid Illini Surgical Associates Sc |
|---|---|
| Address | 900 Main Street, Peoria, Illinois |
| Phone Number | 3096725975 |
| Fax Number | 3096551678 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Totten Greg |
| Telephone Number | 3096725975 |
NPI Number Detail
| NPI Number | 1093854002 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 900 Main Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021074 |
| Phone Number | 3096725975 |
| Fax Number | 3096551678 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the unique 10-digit identifier code assigned to Mid Illini Surgical Associates Sc by the Centers for Medicare & Medicaid Services?
The Mid Illini Surgical Associates Sc has been issued the NPI (National Provider Identifier) 1093854002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mid Illini Surgical Associates Sc's physical address?
The Mid Illini Surgical Associates Sc is physically located at 900 Main Street, in the city of Peoria, IL, with the postal code 616021074.
What is the area of specialization for Mid Illini Surgical Associates Sc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mid Illini Surgical Associates Sc is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
When did the Mid Illini Surgical Associates Sc receive its 1093854002?
The Mid Illini Surgical Associates Sc was issued its 1093854002 on 2007-02-06, which is the date when the organization was assigned this unique identifier.
When was the Mid Illini Surgical Associates Sc's information last updated?
The Mid Illini Surgical Associates Sc's information was last updated on 2022-07-21.