University Of Illinois
Pediatric Hematology-Oncology
University Of Illinois is a Peoria, Illinois based Pediatric center with medical specialization in
Pediatric Hematology-Oncology. University Of Illinois is doing business as
Medical Service Plan At Peoria.
It is located at
St Jude Midwest Affiliate, 530 Ne Glen Oak, Peoria, Illinois - 61637-0001. They can be contacted on phone at
309-624-4945.
NPI number (Unique professional ID) for University Of Illinois is
1568433050 which was assigned by NPPES on 01 Feb, 2006 and it was last updated on 22 Aug, 2020.
University Of Illinois is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
University Of Illinois basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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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 : | St Jude Midwest Affiliate, 530 Ne Glen Oak
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 309-624-4945 |
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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 : | 1568433050 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 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
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | | |
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 |
|---|
| 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.