Medical Service Plan At Peoria

LBN: University Of Illinois
Medical Service Plan At Peoria is an health care organization with primary practice located at Regional Development Center 507 E Armstrong, Peoria IL 61603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as the primary health care specialty. University Of Illinois can be contacted via phone (309) 681-6960, or through Nichaolas, William R via phone (312) 413-0573.

Contact Information

Primary practice address
Regional Development Center 507 E Armstrong Peoria IL 61603
Phone: (309) 681-6960
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichaolas, William R PHD
Phone: (312) 413-0573

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X

Profile Details

NPI number 1619948411
LBN Legal business name University Of Illinois
DBA Doing business as Medical Service Plan At Peoria
Authorized official Nichaolas, William R PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1619948411 NPPES
Illinois Other 07215036 BCBS

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