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STREATOR MEDICAL SERVICES PC NPI 1144432790


NPI Information

NPI: 1144432790
Provider Name: STREATOR MEDICAL SERVICES, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
409 E BRIDGE ST
STREATOR, IL
ZIP 61364
Phone: (815) 672-5500
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STREATOR MEDICAL SERVICES, PC is a family medicine in Streator, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STREATOR MEDICAL SERVICES, PC NPI is 1144432790. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

409 E BRIDGE ST
STREATOR, IL
ZIP 61364-915
Phone: (815) 672-5500
Fax: (815) 673-5522

The provider's authorized official is Joni Luckey .
The authorized official title is Shareholder and has the following contact phone number (815) 672-5500.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.


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 License Number License State Primary
1207Q00000XFamily MedicineILLINOISYes
2207R00000XInternal MedicineILLINOISX

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: 5/5/2024

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