Boyd Obstetrics & Gynecology, S.c., NPI 1245358381
Obstetrics & Gynecology Physician in Peoria, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245358381
NPI Entity Type Organization
Provider Name Boyd Obstetrics & Gynecology, S.c.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 900 Main St Ste 660, Peoria, IL, US
Provider Mailing Address 900 Main St Ste 660, Peoria, IL, US, 616021060
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Paula M Clark
Official Position PRACTICE ADMINISTRATOR
Phone 309-687-4242

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207V00000X

Taxonomy Name Obstetrics & Gynecology Physician
Classification

Obstetrics & Gynecology

Group

Allopathic & Osteopathic Physicians

License No. 036084069
License State IL
Description 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.

Business Address

Boyd Obstetrics & Gynecology, S.c.
900 Main St Ste 660

Peoria, IL, US

Phone: 309-272-7735
Fax: 309-272-7704

Mailing Address

Boyd Obstetrics & Gynecology, S.c.
900 Main St Ste 660
Peoria, IL, US
ZIP 616021060
Phone: 309-272-7735
Fax: 309-272-7704

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4623406 IL AETNA 01
008992 IL HEALTH ALLIANCE 01
7205412 IL BCBS 01
263252 IL HEALTHLINK 01
036084069 IL MEDICAID 05

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