Farrell, John Joseph

Farrell, John Joseph is an individual health care provider with primary practice located at Department Of Internal Medicine 530 Ne Glen Oak Drive, Peoria IL 61637-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Farrell, John Joseph can be contacted via phone (309) 655-7734.

Contact Information

Primary practice address
Department Of Internal Medicine 530 Ne Glen Oak Drive Peoria IL 61637-0001
Phone: (309) 655-7734
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036111223 Illinois

Profile Details

NPI number 1043284649
LBN Legal business name Farrell, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 5th, 2011 - about 13 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 1043284649 NPPES
Illinois Other IL0104 JOHN DEERE
Illinois MEDICAID 036111223 JOHN DEERE
Illinois Other 07215036 JOHN DEERE

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