University Of Illinois
Developmental - Behavioral Pediatrics
University Of Illinois is a Peoria, Illinois based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. University Of Illinois is doing business as
Medical Service Plan At Peoria.
It is located at
Regional Development Center, 507 E Armstrong, Peoria, Illinois - 61603. They can be contacted on phone at
309-681-6960.
NPI number (Unique professional ID) for University Of Illinois is
1619948411 which was assigned by NPPES on 30 Jan, 2006 and it was last updated on 22 Aug, 2020.
University Of Illinois is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
University Of Illinois basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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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 : | Regional Development Center, 507 E Armstrong
Peoria, IL, 61603
United States |
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| Phone Number : | 309-681-6960 |
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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 : | 1619948411 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 30 Jan, 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 Nichaolas |
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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
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | 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. Last updated on 08 January, 2024.