Edward W Pegg Md, Llc
LBN: Edward W Pegg Md, Llc
Edward W Pegg Md, Llc is an health care organization with primary practice located at 1505 Eastland Dr Ste 2400 , Bloomington IL 61701-7911. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty.
Edward W Pegg Md, Llc can be contacted via phone (309) 661-7344, or through Pegg, Edward W via phone (309) 661-7344.
Contact Information
Primary practice address
1505 Eastland Dr Ste 2400
Bloomington IL 61701-7911
Phone: (309) 661-7344
Fax: (309) 661-7343
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036071077 | Illinois |
Profile Details
NPI number | 1568667772 |
---|---|
LBN Legal business name | Edward W Pegg Md, Llc |
DBA Doing business as | |
Authorized official | Pegg, Edward W Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 18th, 2007 |
Last updated | May 29th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568667772 | NPPES |
Illinois | Other | 05732102 | BCBS |
Illinois | Other | 1043392160 | BCBS |
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