Greater Peoria Obstetrics & Gynecology Corp Sc

LBN: Greater Peoria Obstetrics & Gynecology Corp Sc
Greater Peoria Obstetrics & Gynecology Corp Sc is an health care organization with primary practice located at 4930 N Executive Dr , Peoria IL 61614-4894. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Greater Peoria Obstetrics & Gynecology Corp Sc can be contacted via phone (309) 671-8749, or through Mueller, Judy via phone (309) 692-7575.

Contact Information

Primary practice address
4930 N Executive Dr Peoria IL 61614-4894
Phone: (309) 671-8749
Fax: (309) 671-8749
Website:
Map and Directions
Authorized official contact:
Name: Mueller, Judy
Phone: (309) 692-7575

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 03658850 Illinois

Profile Details

NPI number 1912129271
LBN Legal business name Greater Peoria Obstetrics & Gynecology Corp Sc
DBA Doing business as
Authorized official Mueller, Judy
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated May 1st, 2015 - about 10 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 1912129271 NPPES
Illinois Other 212742 MEDICARE GROUP NUMBER

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