ALLERGY AND ASTHMA CARECENTER SC (NPI# 1225234206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225234206 |
| Entity Type | Organization |
| Organization Name | ALLERGY AND ASTHMA CARECENTER SC |
| Practice Address |
120 Ne Glen Oak Ave Suite 408 Peoria IL 61603-4314 |
| Practice Telephone | 3096723158 |
| Practice Fax Number | 3096723114 |
| Mailing Telephone | 3096723158 |
| Mailing Fax Number | 3096723114 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | DR. DANIEL W PALMER (PRESIDENT) |
| Authorized Official Telephone | 3096723158 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 042.007061036.04 | IL | Ambulatory Health Care Facilities |
| Street Address |
120 NE GLEN OAK AVE SUITE 408 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184670663 | Methodist Medical Center of Illinois | Emergency Medicine | 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 | 2006-05-26 |
| 1871047977 | Maren Thompson | Pharmacist | 120 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-4314 | 2016-08-08 |
| 1063538940 | Joan K Selburg | Specialist/Technologist, Other | 120 Ne Glen Oak Ave, Suite 407, Peoria, IL 61603-4301 | 2007-03-22 |
| 1104986330 | Diane Lynn Dunniway | Nurse Practitioner | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1609936707 | Kindred LLC | Obstetrics & Gynecology | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1225145196 | Daniel W Palmer Jr. | Specialist | 120 Ne Glen Oak Ave, Suite 408, Peoria, IL 61603-4314 | 2006-08-24 |
| 1912912213 | Vaughn Hanna | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-29 |
| 1811901929 | Joseph Couri | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-27 |
| 1528089687 | Gurramkonda Naidu | Family Medicine | 120 Ne Glen Oak Ave, Suite 306, Peoria, IL 61603-4314 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608126 | E3 Fitology, LLC | Clinic/Center | 22431 N 81st Ave, Peoria, AZ 85383-2106 | 2019-06-14 |
| 1548781990 | A Plus Pulmonary Center PC | Clinic/Center | 13352 N 83rd Ave Ste A100, Peoria, AZ 85381-4158 | 2017-07-06 |
| 1265977078 | Unitypoint Health Junction Medical, LLC | Clinic/Center | 5901 N Prospect Rd Ste 101b, Peoria, IL 61614-1395 | 2017-01-03 |
| 1083020911 | Planned Parenthood of Illinois | Clinic/Center | 705 Ne Jefferson St., Peoria, IL 61603-3843 | 2014-07-11 |
| 1972811404 | Sunshine Medical Care Corp | Clinic/Center | 15943 N 77th Ave, Peoria, AZ 85382-3867 | 2010-09-17 |
| 1730417676 | Cigna Healthcare of Arizona, Inc. | Clinic/Center | 21731 N 77th Ave, Suite 1300, Peoria, AZ 85382-2109 | 2009-12-04 |
| 1396923702 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave Ste 306, Peoria, IL 61614-5021 | 2008-02-07 |
| 1750493805 | Belcrest Services, Ltd | Clinic/Center | 3915 Barring Trce, Peoria, IL 61615-2500 | 2006-08-31 |
| 1922110089 | Belcrest Services, Ltd | Clinic/Center | 9118 N Lindbergh Dr, Peoria, IL 61615-1422 | 2006-08-31 |
| 1063021269 | Valley Direct Primary Care, Pllc | Clinic/Center | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2020-07-24 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.