Peoria Day Surgery Center Ltd in Peoria - Ambulatory Surgical
Peoria Day Surgery Center Ltd - NPI 1568426260
Peoria Day Surgery Center Ltd is a Ambulatory Surgical in Peoria, Illinois. Peoria Day Surgery Center Ltd practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Peoria Day Surgery Center Ltd is 1568426260. The last update date is 2019-02-25.
Peoria Day Surgery Center Ltd's current location address is 7309 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096929210 and fax number 3096834208. The mailing address for Peoria Day Surgery Center Ltd is 7309 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Peoria Day Surgery Center Ltd |
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Address | 7309 N Knoxville Ave, Peoria, Illinois |
Phone Number | 3096929210 |
Fax Number | 3096834208 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Ahlman R Justin |
Credentials | M.D. |
Telephone Number | 3096929210 |
NPI Number Detail
NPI Number | 1568426260 |
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Provider Enumeration Date | 2006-04-12 |
Last Updated Date | 2019-02-25 |
Provider Mailing Address Detail
Address | 7309 N Knoxville Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616142085 |
Phone Number | 3096929210 |
Fax Number | 3096834208 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | 7001449 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7001449 | IL | -- |
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What is the unique identification code assigned to Peoria Day Surgery Center Ltd by the Centers for Medicare & Medicaid Services?
The Peoria Day Surgery Center Ltd has been issued the NPI (National Provider Identifier) 1568426260. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Peoria Day Surgery Center Ltd?
The Peoria Day Surgery Center Ltd is situated at 7309 N Knoxville Ave, in the city of Peoria, state of IL, with the zip code 616142085.
What is Peoria Day Surgery Center Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peoria Day Surgery Center Ltd is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.
On what date did Peoria Day Surgery Center Ltd receive its 1568426260 assignment from the Centers for Medicare & Medicaid Services?
The Peoria Day Surgery Center Ltd was assigned its 1568426260 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Peoria Day Surgery Center Ltd most recently updated or refreshed?
The details pertaining to the Peoria Day Surgery Center Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-25.