MEDICAL SERVICE PLAN AT PEORIA – NPI #1619948411
Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Health Care Provider Taxonomy Code for Pediatrics

MEDICAL SERVICE PLAN AT PEORIA is a provider located in PEORIA, IL. NPPES has assigned the NPI number 1619948411 to MEDICAL SERVICE PLAN AT PEORIA on January 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL SERVICE PLAN AT PEORIA” is a dba name, the actual legal business name for this organization is UNIVERSITY OF ILLINOIS. The primary taxonomy selected by this provider is 2080P0006X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Developmental - Behavioral Pediatrics

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 MEDICAL SERVICE PLAN AT PEORIA below.

NPI Profile for
UNIVERSITY OF ILLINOIS

NPI Number
1619948411
Enumeration Date

(more than 20 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
UNIVERSITY OF ILLINOIS
Doing Business As (dba): MEDICAL SERVICE PLAN AT PEORIA
Primary location
REGIONAL DEVELOPMENT CENTER
507 E ARMSTRONG
PEORIA, IL 61603
Phone: (309) 681-6960 Fax:
Mailing address
1 ILLINI DR
PEORIA, IL 61605-2576
Phone: (309) 671-8503 Fax:
Organization Subpart
No
Authorized Official
WILLIAM NICHAOLAS
EXECUTIVE DIRECTOR OF MSP
Phone: (312) 413-0573
Updated
Identifiers

Identifiers for MEDICAL SERVICE PLAN AT PEORIA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIL07215036
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
2080P0006X
- Pediatrics / Developmental - Behavioral Pediatrics (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.