Richard Pearl is a Pediatric Surgery in Peoria, Illinois. Richard Pearl practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Richard Pearl is 1457389272. The last update date is 2007-07-08.
Richard Pearl's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553800. The mailing address for Richard Pearl is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Pearl |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457389272 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096553800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 36098051 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7215166 | IL | BCBS | |
| 036098051-2 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard Pearl by the Centers for Medicare & Medicaid Services?
The Richard Pearl has been assigned the NPI (National Provider Identifier) 1457389272 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Richard Pearl is physically located?
The Richard Pearl is situated at the following address: 420 Ne Glen Oak Ave, Peoria, IL 616033105.
Could you please share the complete physical location address where Richard Pearl's facilities are situated?
The facilities of Richard Pearl are physically located at the following address: 420 Ne Glen Oak Ave, Peoria, IL, 616033105.
On what date did the Richard Pearl receive the assignment of its 1457389272 from the Centers for Medicare & Medicaid Services?
The Richard Pearl was issued its 1457389272 by the Centers for Medicare & Medicaid Services on 2006-06-29.
When was the information regarding Richard Pearl most recently updated?
The details pertaining to the Richard Pearl, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.