Illinois Neurological Institute-Physicians LLC
Neurological Surgery in Peoria, IL. Organization (NPI-2).
NPI number1841447653
StatusActive
Last updated in NPPESApr 8, 2016
Details
- NPI
- 1841447653
- Entity type
- Organization (NPI-2)
- Legal business name
- Illinois Neurological Institute-Physicians LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 22, 2008
- Last updated
- Apr 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
200 E Pennsylvania AvePeoria, IL 61603-3089
Phone 309-624-4000 · Fax 309-624-4010
Mailing address
200 E Pennsylvania AvePeoria, IL 61603-3089
Phone 309-624-4000 · Fax 309-624-4010
Authorized official
James M Moore
Ceo
3096552850
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- Jeffrey David Klopfenstein, M.D.NPI 1578508354
- Julian Jwchun Lin, MDNPI 1437104593
- Paul Miles Macmahon, MDNPI 1295173789
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- Derek Martinez, M.D.NPI 1043506942
- Todd David McCall, M.D.NPI 1508054297
All 14 Neurological Surgery Physician providers in Peoria · All 5,546 providers in Peoria
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