Peoria Obstetrics & Gynecology, S.C.
LBN: Peoria Obstetrics & Gynecology, S.C.
Peoria Obstetrics & Gynecology, S.C. is an health care organization with primary practice located at 900 Main St Ste 660 , Peoria IL 61602-1060. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty.
Peoria Obstetrics & Gynecology, S.C. can be contacted via phone (309) 687-4230, or through Clark, Paula M via phone (309) 687-4242.
Contact Information
Primary practice address
900 Main St Ste 660
Peoria IL 61602-1060
Phone: (309) 687-4230
Fax: (309) 272-7704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036084069 | Illinois |
Profile Details
| NPI number | 1477672020 |
|---|---|
| LBN Legal business name | Peoria Obstetrics & Gynecology, S.C. |
| DBA Doing business as | |
| Authorized official | Clark, Paula M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jan 26th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477672020 | NPPES |
| Illinois | MEDICAID | 036065639 | |
| Illinois | MEDICAID | 036108543 | |
| Illinois | MEDICAID | 036084069 | |
| Illinois | MEDICAID | 036098292 | |
| Illinois | MEDICAID | 036111906 | |
| Illinois | MEDICAID | 036044919 | |
| Illinois | MEDICAID | 036062138 |
Popular Providers
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Women'S Health Institute Ltd
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Couri Center For Gynecology And Integrative Womens Health Sc
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Teverbaugh Croland & Mueller Ob/Gyn & Associates, S.C.
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Boyd Obstetrics & Gynecology, S.C.
900 Main St Ste 660 , Peoria IL 61602-1060 -
James K Crane Mdsc
5008 N Glen Park Place Rd Suite B, Peoria IL 61614-4694 -
Boyd Obstetrics & Gynecology Of Central Illinois
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Drs. Shay And Associates, Ltd.
1201 N North St , Peoria IL 61606-1533 -
Bochantin Obstetrics & Gynecology Services Ltd
5401 N Knoxville Ave Suite 308, Peoria IL 61614-5098