ILLINOIS SURGICAL SPECIALISTS LTD NPI 1215170246

NPI Information

NPI: 1215170246
Provider Name: ILLINOIS SURGICAL SPECIALISTS, LTD
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
7725 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 495-0240
Get Directions

ILLINOIS SURGICAL SPECIALISTS, LTD is a plastic and reconstructive surgery surgery in Peoria, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. ILLINOIS SURGICAL SPECIALISTS, LTD NPI is 1215170246. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7725 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614-079
Phone: (309) 495-0240
Fax: (309) 689-9035

The provider's authorized official is Andy C Chiou .
The authorized official title is President and has the following contact phone number (309) 495-0240.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 6/16/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208600000X	Surgery		No
2	2086S0129X	Surgery	Vascular Surgery	No
3	2088P0231X	Urology	Pediatric Urology	No
4	2086S0122X	Surgery	Plastic and Reconstructive Surgery	Yes

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: 11/14/2023

NPI Synchronization or Removal

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