MEDICAL SERVICE PLAN AT PEORIA
NPI 1174596225
Pediatrics, Neurodevelopmental Disabilities in Peoria,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 9, 2006

Contact Information

1 Illini Dr
Peoria,
Post Code: 61605
Phone: (309) 671-8503
Fax: -

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Medical Service Plan At Peoria in Peoria - Pediatrics, Neurodevelopmental Disabilities

Medical Service Plan At Peoria is a Pediatrics, Neurodevelopmental Disabilities in Peoria, . Medical Service Plan At Peoria practices all healthcare services and medical treatments related to Pediatrics, Neurodevelopmental Disabilities. The NPI Number for Medical Service Plan At Peoria is 1174596225. The last update date is 2020-08-22.

Medical Service Plan At Peoria's current location address is 1 Illini Dr, Peoria, . You can contact this provider via phone number (309) 671-8503 and fax number -. The mailing address for Medical Service Plan At Peoria is 1 Illini Dr, Peoria, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1174596225
Provider Legal Name
UNIVERSITY OF ILLINOIS
Other Organization Name
MEDICAL SERVICE PLAN AT PEORIA
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1 Illini Dr, Peoria,
Location Phone
(309) 671-8503
Location Fax
-
Mailing Address
515 Ne Glen Oak Ave, Peoria, Illinois(IL)
Mailing Phone
309-624-9844
Mailing Fax
-
Enumeration Date
2006-02-09
Last Update Date
2020-08-22
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics, Neurodevelopmental Disabilities

Taxonomy Code
2080P0008X
Type
-
License No.
-
License State
Illinois (IL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
07215036 Other (non-Medicare) (01) Illinois (IL) BCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174596225
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441091224
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211441091224
2 + 1 + 1 + 4 + 4 + 1 + 0 + 9 + 1 + 2 + 2 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1174596225 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784
1124021308 JULIA RACKLEY PERRY MEMORIAL HOSPITAL
PERRY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital, Critical Access 530 PARK AVE E
PRINCETON, Illinois (IL)
815-875-2811