Eagle Family Medicine Sc in Peoria - Primary Care
Eagle Family Medicine Sc - NPI 1659409290
Eagle Family Medicine Sc is a Primary Care in Peoria, Illinois. Eagle Family Medicine Sc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Eagle Family Medicine Sc is 1659409290. The last update date is 2008-07-10.
Eagle Family Medicine Sc's current location address is 2809 W Willow Knolls Suite C, Peoria, Illinois. You can contact this provider via phone number 3096926604 and fax number 3096926492. The mailing address for Eagle Family Medicine Sc is 2809 W Willow Knolls Suite C, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Family Medicine Sc |
|---|---|
| Address | 2809 W Willow Knolls Suite C, Peoria, Illinois |
| Phone Number | 3096926604 |
| Fax Number | 3096926492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Bevill Scott Robert |
| Credentials | MD |
| Telephone Number | 3096926604 |
NPI Number Detail
| NPI Number | 1659409290 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 2809 W Willow Knolls Suite C |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148259 |
| Phone Number | 3096926604 |
| Fax Number | 3096926492 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208745 | IL | MEDICARE GROUP NUMBER | |
| K37812 | IL | MEDICARE PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eagle Family Medicine Sc by the Centers for Medicare & Medicaid Services?
The Eagle Family Medicine Sc has been issued the NPI (National Provider Identifier) 1659409290, which 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 Eagle Family Medicine Sc?
The Eagle Family Medicine Sc is situated at 2809 W Willow Knolls Suite C, in the city of Peoria, state of IL, with the zip code 616148259.
What is the area of specialization for Eagle Family Medicine Sc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eagle Family Medicine Sc is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
On what date did the Eagle Family Medicine Sc receive the assignment of its 1659409290 from the Centers for Medicare & Medicaid Services?
The Eagle Family Medicine Sc was issued its 1659409290 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the information regarding Eagle Family Medicine Sc most recently updated?
The details pertaining to the Eagle Family Medicine Sc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-10.
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