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BOYD OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS NPI 1902107733


NPI Information

NPI: 1902107733
Provider Name: BOYD OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
900 MAIN ST STE 660
PEORIA, IL
ZIP 61602
Phone: (309) 687-4230
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BOYD OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS is an obstetrics gynecology in Peoria, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BOYD OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS NPI is 1902107733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 MAIN ST STE 660
PEORIA, IL
ZIP 61602-060
Phone: (309) 687-4230
Fax: (309) 687-4235

The provider's authorized official is Paula Clark .
The authorized official title is Administrator and has the following contact phone number (309) 687-4242.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 11/10/2010.


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
1207V00000XObstetrics & Gynecology036084069ILLINOISYes

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
17205412OTHERILLINOISBCBS
2036084069MEDICAIDILLINOIS
3008992OTHERILLINOISHEALTH ALLIANCE
44623406OTHERILLINOISAETNA
5263252OTHERILLINOISHEALTHLINK
6344410MEDICARE 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: 11/14/2023

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