PEKIN PROHEALTH INC NPI 1932150299

NPI Information

NPI: 1932150299
Provider Name: PEKIN PROHEALTH INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
600 S 13TH ST
SUITE M
PEKIN, IL
ZIP 61554
Phone: (309) 353-0825
Get Directions

PEKIN PROHEALTH INC is a family medicine in Pekin, 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. PEKIN PROHEALTH INC NPI is 1932150299. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 S 13TH ST
SUITE M
PEKIN, IL
ZIP 61554-936
Phone: (309) 353-0825
Fax: (309) 347-1246

The provider's authorized official is Janet Vandyke .
The authorized official title is Billing Supervisor and has the following contact phone number (309) 353-0799.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/18/2013.

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	Primary
1	208200000X	Plastic Surgery		No
2	207R00000X	Internal Medicine		No
3	208000000X	Pediatrics		No
4	2084N0400X	Psychiatry & Neurology	Neurology	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	207X00000X	Orthopaedic Surgery		No
7	208800000X	Urology		No
8	332B00000X	Durable Medical Equipment & Medical Supplies		No
9	333600000X	Pharmacy		No
10	207Q00000X	Family Medicine		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	09015685	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	CE8213	OTHER	ILLINOIS	RAIL ROAD MEDICARE
3	970990	MEDICARE PIN	ILLINOIS
4	CN0361	OTHER	ILLINOIS	RAIL ROAD MEDICARE
5	779491	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: 5/5/2024

NPI Synchronization or Removal

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