Mina, Adel F

Mina, Adel F is an individual health care provider with primary practice located at 112 Ne Crescent Ave , Peoria IL 61606-1901. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mina, Adel F can be contacted via phone (309) 672-4670.

Contact Information

Primary practice address
112 Ne Crescent Ave Peoria IL 61606-1901
Phone: (309) 672-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036111050 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036111050 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036111050 Illinois

Profile Details

NPI number 1316962749
LBN Legal business name Mina, Adel F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 1st, 2018 - about 6 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 1316962749 NPPES
Illinois Other 036111050 LICENSE

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