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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
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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