SUSAN J COLE MD & ASSOCIATES NPI 1083848188

NPI Information

SUSAN J COLE, MD & ASSOCIATES is a medical specialty clinic center in Peoria, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SUSAN J COLE, MD & ASSOCIATES NPI is 1083848188. The provider is registered as an organization entity type.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 107
PEORIA, IL
ZIP 61614-098
Phone: (309) 691-2311
Fax: (309) 691-2320

The provider's authorized official is Susan Joan Cole .
The authorized official title is Lead Physician and has the following contact phone number (309) 691-2311.

The enumeration date for this NPI number is 5/5/2009 and was last updated on 5/5/2009.

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:

Other Identifiers

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

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