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PEORIA UROLOGICAL ASSOCIATES S.C NPI 1538123468


NPI Information

NPI: 1538123468
Provider Name: PEORIA UROLOGICAL ASSOCIATES S.C
Classification: Urology - 208800000X
Entity Type: Organization
Address:
7309 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 692-9898
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PEORIA UROLOGICAL ASSOCIATES S.C is an urology in Peoria, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PEORIA UROLOGICAL ASSOCIATES S.C NPI is 1538123468. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7309 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614-085
Phone: (309) 692-9898

The provider's authorized official is Joseph Banno .
The authorized official title is Ceo and has the following contact phone number (309) 692-9898.

The enumeration date for this NPI number is 4/17/2006 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
1208800000XUrologyYes
2103TH0100XPsychologistHealth ServiceX

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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