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WEST CENTRAL ALLERGY CENTER S.C. NPI 1780863910


NPI Information

NPI: 1780863910
Provider Name: WEST CENTRAL ALLERGY CENTER S.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2514 W SCENIC DR
PEORIA, IL
ZIP 61615
Phone: (309) 685-1038
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WEST CENTRAL ALLERGY CENTER S.C. is a clinic center in Peoria, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WEST CENTRAL ALLERGY CENTER S.C. NPI is 1780863910. The provider is registered as an organization entity type.

The provider's business location address is:

2514 W SCENIC DR
PEORIA, IL
ZIP 61615-825
Phone: (309) 685-1038

The provider's authorized official is Danilo Gungon Capati .
The authorized official title is President and has the following contact phone number (309) 685-1038.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 2/5/2008.


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
1261Q00000XClinic/CenterILLINOISYes

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
10007232040OTHERILLINOISBLUE CROSS BLUE SHIELD
2CM5516MEDICARE PINILLINOIS
3211613MEDICARE PINILLINOIS

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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