University Of Illinois Medical Service Plan At Peoria
LBN: Board Of Trustees Of The University Of Illinois
University Of Illinois Medical Service Plan At Peoria is an health care organization with primary practice located at 1 Illini Dr , Peoria IL 61605-2576. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Board Of Trustees Of The University Of Illinois can be contacted via phone (309) 680-8649, or through Nicholas, William R via phone (312) 413-0573.
Contact Information
Primary practice address
1 Illini Dr
Peoria IL 61605-2576
Phone: (309) 680-8649
Fax: (309) 671-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | Illinois | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1467425322 |
|---|---|
| LBN Legal business name | Board Of Trustees Of The University Of Illinois |
| DBA Doing business as | University Of Illinois Medical Service Plan At Peoria |
| Authorized official | Nicholas, William R PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 9th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467425322 | NPPES |
| Illinois | Other | 07215036 | BCBS |
| Illinois | Other | CH0107 | BCBS |
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