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RICHARD PAUL DRIESSNACK M.D. NPI 1679573901


NPI Information

NPI: 1679573901
Provider Name: RICHARD PAUL DRIESSNACK, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
303 N WILLIAM KUMPF BLVD
PEORIA, IL
ZIP 61605
Phone: (309) 676-5546
Get Directions

Richard Paul Driessnack, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Peoria, IL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Richard Paul Driessnack, M.D. NPI is 1679573901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

303 N WILLIAM KUMPF BLVD
PEORIA, IL
ZIP 61605-507
Phone: (309) 676-5546
Fax: (309) 676-5045

The enumeration date for this NPI number is 7/28/2005 and was last updated on 11/2/2010.


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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery36077466ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B52520MEDICARE UPIN
2L63892MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3B52520MEDICARE UPINILLINOIS
436077466MEDICAIDILLINOIS

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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