CENTRAL ILLINOIS ENDOSCOPY CENTER – NPI #1790924306
Clinic/Center

CENTRAL ILLINOIS ENDOSCOPY CENTER is an AHC clinic located in PEORIA, IL. NPPES has assigned the NPI number 1790924306 to CENTRAL ILLINOIS ENDOSCOPY CENTER on February 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL ILLINOIS ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC. The primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL ILLINOIS ENDOSCOPY CENTER below.

NPI Profile for
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC

NPI Number
1790924306
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC
Doing Business As (dba): CENTRAL ILLINOIS ENDOSCOPY CENTER
Primary location
1001 MAIN ST
STE 530
PEORIA, IL 61606-1907
Phone: (309) 495-1144 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CATHERINE EMANUEL
SECRETARY/TREASURER
Phone: (309) 672-4846
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0800X
- Clinic/Center / Endoscopy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.