University Of Illinois
Pediatric Neurodevelopmental Disabilities
University Of Illinois is a Peoria, Illinois based Pediatric center with medical specialization in
Pediatric Neurodevelopmental Disabilities. University Of Illinois is doing business as
Medical Service Plan At Peoria.
It is located at
515 Ne Glen Oak Ave, Pediatric Neurology, Peoria, Illinois - 61603-3165. They can be contacted on phone at
309-624-9844.
NPI number (Unique professional ID) for University Of Illinois is
1174596225 which was assigned by NPPES on 09 Feb, 2006 and it was last updated on 22 Aug, 2020.
University Of Illinois treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
University Of Illinois basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | University Of Illinois |
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| Other Name : | Medical Service Plan At Peoria |
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Business Address:
University Of Illinois address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 515 Ne Glen Oak Ave, Pediatric Neurology
Peoria, IL, 61603-3165
United States |
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| Phone Number : | 309-624-9844 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174596225 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 Feb, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Williamr Nicholas |
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| Authorized Official Credential : | PHD |
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| Official Title or Position : | EXECUTIVE DIRECTOR OF MSP |
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| Phone Number : | 312-413-0573 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for University Of Illinois are as mentioned. Primary taxonomy code for University Of Illinois is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | | IL |
Legacy Identifiers:
Other legacy medical identifiers of University Of Illinois such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 07215036 | Other | IL | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Illini Dr
Peoria, IL, 61605-2576
United States |
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| Phone Number : | 309-671-8503 |
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Business Location:
Patients can refer following map for directions to
University Of Illinois practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.