Neurology Clinic Of Peoria Sc in Peoria - Medical Specialty
Neurology Clinic Of Peoria Sc - NPI 1376680363
Neurology Clinic Of Peoria Sc is a Medical Specialty in Peoria, Illinois. Neurology Clinic Of Peoria Sc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Neurology Clinic Of Peoria Sc is 1376680363. The last update date is 2009-05-26.
Neurology Clinic Of Peoria Sc's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096929516 and fax number 3096929530. The mailing address for Neurology Clinic Of Peoria Sc is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Neurology Clinic Of Peoria Sc |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096929516 |
| Fax Number | 3096929530 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Cheng C Gene |
| Credentials | MD |
| Telephone Number | 3096929516 |
NPI Number Detail
| NPI Number | 1376680363 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2009-05-26 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096929516 |
| Fax Number | 3096929530 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 42617586 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36088131 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Neurology Clinic Of Peoria Sc by the Centers for Medicare & Medicaid Services?
The Neurology Clinic Of Peoria Sc has been issued the NPI (National Provider Identifier) 1376680363, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Neurology Clinic Of Peoria Sc?
The Neurology Clinic Of Peoria Sc is physically situated at 5401 N Knoxville Ave, in the city of Peoria, state of IL, with the postal code 616145098.
What is the Neurology Clinic Of Peoria Sc's area of specialization and corresponding taxonomy classification?
The Neurology Clinic Of Peoria Sc's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
When was the Neurology Clinic Of Peoria Sc's 1376680363 issued?
The Neurology Clinic Of Peoria Sc's 1376680363 was issued on 2007-01-31.
As of what date were the details related to Neurology Clinic Of Peoria Sc most recently updated or revised?
The information pertaining to Neurology Clinic Of Peoria Sc, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-26.