West Central Allergy Center S.C. in Peoria - Clinic/center
West Central Allergy Center S.C. - NPI 1780863910
West Central Allergy Center S.C. is a Clinic/center in Peoria, Illinois. West Central Allergy Center S.C. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for West Central Allergy Center S.C. is 1780863910. The last update date is 2008-02-05.
West Central Allergy Center S.C.'s current location address is 2514 W Scenic Dr, Peoria, Illinois. You can contact this provider via phone number 3096851038. The mailing address for West Central Allergy Center S.C. is 2514 W Scenic Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Central Allergy Center S.C. |
|---|---|
| Address | 2514 W Scenic Dr, Peoria, Illinois |
| Phone Number | 3096851038 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Capati Gungon Danilo |
| Credentials | M.D. |
| Telephone Number | 3096851038 |
NPI Number Detail
| NPI Number | 1780863910 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 2514 W Scenic Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616153825 |
| Phone Number | 3096851038 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7232040 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to West Central Allergy Center S.C. by the Centers for Medicare & Medicaid Services?
The West Central Allergy Center S.C. has been assigned the NPI (National Provider Identifier) 1780863910. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of West Central Allergy Center S.C.?
The West Central Allergy Center S.C. is situated at 2514 W Scenic Dr, in the city of Peoria, state of IL, with the zip code 616153825.
What is West Central Allergy Center S.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The West Central Allergy Center S.C.'s area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780863910 to West Central Allergy Center S.C.?
The Centers for Medicare & Medicaid Services assigned the 1780863910 to West Central Allergy Center S.C. on 2007-10-24.
When was the information regarding West Central Allergy Center S.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to West Central Allergy Center S.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-05.
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