THOMAS F KOURI INTERNAL MEDICINE INC NPI 1194825190

NPI Information

NPI: 1194825190
Provider Name: THOMAS F KOURI INTERNAL MEDICINE INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5401 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 689-9088
Get Directions

THOMAS F KOURI INTERNAL MEDICINE INC is a primary care clinic center in Peoria, IL. THOMAS F KOURI INTERNAL MEDICINE INC NPI is 1194825190. The provider is registered as an organization entity type.

The provider's business location address is:

5401 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614-098
Phone: (309) 689-9088
Fax: (309) 689-9072

The provider's authorized official is Thomas Kouri .
The authorized official title is Medical Doctor and has the following contact phone number (309) 689-9088.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 6/11/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036071029	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C46233	MEDICARE UPIN	ILLINOIS
2	036071029	MEDICAID	ILLINOIS
3	07228117	OTHER	ILLINOIS	BCBSIL
4	CK6092	OTHER	ILLINOIS	RAILROAD MEDICARE
5	200493	MEDICARE PIN	ILLINOIS

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

NPI Synchronization or Removal

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