EASTER SEALS UCP NPI 1851547129

NPI Information

NPI: 1851547129
Provider Name: EASTER SEALS UCP
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
507 E ARMSTRONG AVE
PEORIA, IL
ZIP 61603
Phone: (309) 686-1177
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EASTER SEALS UCP is a voluntary or charitable in Peoria, IL. EASTER SEALS UCP NPI is 1851547129. The provider is registered as an organization entity type.

The provider's business location address is:

507 E ARMSTRONG AVE
PEORIA, IL
ZIP 61603-201
Phone: (309) 686-1177
Fax: (309) 686-7722

The provider's authorized official is Ann Elizabeth Jacobson .
The authorized official title is Audiologist and has the following contact phone number (309) 686-1177.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		147001286	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	=========001	MEDICAID	ILLINOIS
2	144509	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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