Internal Medicine Group Of Peoria Sc

LBN: Internal Medicine Group Of Peoria Sc
Internal Medicine Group Of Peoria Sc is an health care organization with primary practice located at 200 E Pennsylvania Ave Ste 105, Peoria IL 61603-3045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine Group Of Peoria Sc can be contacted via phone (309) 655-7888, or through Bauer, James W via phone (309) 655-7888.

Contact Information

Primary practice address
200 E Pennsylvania Ave Ste 105 Peoria IL 61603-3045
Phone: (309) 655-7888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bauer, James W Doctor of Medicine (MD)
Phone: (309) 655-7888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1972507747
LBN Legal business name Internal Medicine Group Of Peoria Sc
DBA Doing business as
Authorized official Bauer, James W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 5th, 2007 - 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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