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UNIVERSITY OF ILLINOIS NPI 1245203280


NPI Information

NPI: 1245203280
Provider Name: UNIVERSITY OF ILLINOIS

Doing Business As: MEDICAL SERVICE PLAN AT PEORIA

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
DEPARTMENT OF PSYCHIATRY
221 NE GLEN OAK 7 WEST
PEORIA, IL
ZIP 61636
Phone: (309) 671-8222
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UNIVERSITY OF ILLINOIS is a psychiatry psychiatry neurology in Peoria, IL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. UNIVERSITY OF ILLINOIS NPI is 1245203280. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Service Plan At Peoria.

The provider's business location address is:

DEPARTMENT OF PSYCHIATRY
221 NE GLEN OAK 7 WEST
PEORIA, IL
ZIP 61636-001
Phone: (309) 671-8222

The provider's authorized official is William R Nicholas .
The authorized official title is Executive Director Of Msp and has the following contact phone number (312) 413-0573.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107215036OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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