Baumgartel, Peter
Baumgartel, Peter is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-5264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Baumgartel, Peter can be contacted via phone (309) 655-2000.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-5264
Phone: (309) 655-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 4301501049 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036079988 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301501049 | Michigan |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 036079988 | Illinois |
Profile Details
| NPI number | 1932276672 |
|---|---|
| LBN Legal business name | Baumgartel, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932276672 | NPPES |
| Illinois | Other | 4923631 | BCBS ID |
| Illinois | Other | 202926 | BCBS ID |
| Illinois | Other | 212545 | BCBS ID |
| Illinois | MEDICAID | 036079988 | BCBS ID |
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