Yvonne M Mccall is a Medical in Peoria, Illinois. Yvonne M Mccall practices all healthcare services and medical treatments related to Medical. The NPI Number for Yvonne M Mccall is 1922168293. The last update date is 2014-01-16.
Yvonne M Mccall's current location address is 1701 W. Garden Street, Peoria, Illinois. You can contact this provider via phone number 3096807600 and fax number 3096765506. The mailing address for Yvonne M Mccall is 1701 W. Garden Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yvonne M Mccall |
|---|---|
| Address | 1701 W. Garden Street, Peoria, Illinois |
| Phone Number | 3096807600 |
| Fax Number | 3096765506 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1922168293 |
|---|---|
| Provider Enumeration Date | 2006-12-09 |
| Last Updated Date | 2014-01-16 |
Provider Mailing Address Detail
| Address | 1701 W. Garden Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616053531 |
| Phone Number | 3096807600 |
| Fax Number | 3096765506 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5160373-1206 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5160373-1206 | UT | STATE LICENSE | |
| 5160373-8906 | UT | DOPL CONTROLLED SUBSTANCE | |
| 085-003423 | IL | STATE LICENSE | |
| 1054008 | UT | NCCPA BOARD CERTIFICATION | |
| PRA07224 | UT | MOLINA HEALTHCARE OF UT |
Post Comment/ Review Below
What is the unique identifier code issued to Yvonne M Mccall by the Centers for Medicare & Medicaid Services?
The Yvonne M Mccall has been assigned the NPI (National Provider Identifier) 1922168293. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Yvonne M Mccall is physically located?
The Yvonne M Mccall is physically situated at the following address: 1701 W. Garden Street, Peoria, IL, 616053531.
What is Yvonne M Mccall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Yvonne M Mccall is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922168293 to Yvonne M Mccall?
The Centers for Medicare & Medicaid Services originally issued the 1922168293 to Yvonne M Mccall on 2006-12-09.
When was the information regarding Yvonne M Mccall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Yvonne M Mccall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-16.