Peoria Day Surgery Center Ltd

LBN: Peoria Day Surgery Center Ltd
Peoria Day Surgery Center Ltd is an health care organization with primary practice located at 7309 N Knoxville Ave , Peoria IL 61614-2085. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Peoria Day Surgery Center Ltd can be contacted via phone (309) 692-9210, or through Ahlman, Justin R via phone (309) 692-9210.

Contact Information

Primary practice address
7309 N Knoxville Ave Peoria IL 61614-2085
Phone: (309) 692-9210
Fax: (309) 683-4208
Website:
Map and Directions
Authorized official contact:
Name: Ahlman, Justin R Doctor of Medicine (MD)
Phone: (309) 692-9210

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 7001449 Illinois

Profile Details

NPI number 1568426260
LBN Legal business name Peoria Day Surgery Center Ltd
DBA Doing business as
Authorized official Ahlman, Justin R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2006
Last updated Feb 25th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568426260 NPPES
Illinois MEDICAID 007001449

Popular Providers