Dr. Richard D. Corley, S.C.

LBN: Dr. Richard D. Corley, S.C.
Dr. Richard D. Corley, S.C. is an health care organization with primary practice located at 416 St. Mark Ct. #106, Peoria IL 61603-1928. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Dr. Richard D. Corley, S.C. can be contacted via phone (309) 674-2822, or through Corley, Richard D. via phone (309) 674-2822.

Contact Information

Primary practice address
416 St. Mark Ct. #106 Peoria IL 61603-1928
Phone: (309) 674-2822
Fax: (309) 674-4250
Website:
Map and Directions
Authorized official contact:
Name: Corley, Richard D. Doctor of Medicine (MD)
Phone: (309) 674-2822

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036-037-295 Illinois

Profile Details

NPI number 1538498209
LBN Legal business name Dr. Richard D. Corley, S.C.
DBA Doing business as
Authorized official Corley, Richard D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2009
Last updated Dec 9th, 2009 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538498209 NPPES
Illinois MEDICAID 036037295

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