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:
Map and Directions
Authorized official contact:
Name: Pegg, Edward W Doctor of Medicine (MD)
Phone: (309) 661-7344

Health care specialties

SpecialtyCodeLicense #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 17 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 1568667772 NPPES
Illinois Other 05732102 BCBS
Illinois Other 1043392160 BCBS

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