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MEDEXPRESS URGENT CARE ILLINOIS P.C. NPI 1205367802


NPI Information

NPI: 1205367802
Provider Name: MEDEXPRESS URGENT CARE ILLINOIS, P.C.

Doing Business As: MEDEXPRESS URGENT CARE - PEORIA, N BIG HOLLOW RD

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
5038 N BIG HOLLOW ROAD
PEORIA, IL
ZIP 61615
Phone: (309) 691-5690
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MEDEXPRESS URGENT CARE ILLINOIS, P.C. is an urgent care clinic center in Peoria, IL. MEDEXPRESS URGENT CARE ILLINOIS, P.C. NPI is 1205367802. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress Urgent Care - Peoria, N Big Hollow Rd.

The provider's business location address is:

5038 N BIG HOLLOW ROAD
PEORIA, IL
ZIP 61615-510
Phone: (309) 691-5690
Fax: (309) 691-5687

The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/24/2017.


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
1207P00000XEmergency MedicineNo
2261QU0200XClinic/CenterUrgent CareYes

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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