Phillip A. Immesoete Md, Ltd

  • 1245544543 NPI Number
  • |
  • Actived: 13 years ago
  • |
Phillip A. Immesoete Md, Ltd is a health care provider based in Peoria, IL. The NPI Number is 1245544543 and it has been active since 13 years ago. The specialty is Nursing Facility/Intermediate Care Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Nursing Facility/Intermediate Care Facility services, Phillip A. Immesoete Md, Ltd is an excellent option. We are here to help you get the care you need.

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Overview of Phillip A. Immesoete Md, Ltd

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/29/2010
  • Last updated: 07/29/2010

Primary Scrop of Practice

  • Taxonomy Code: 313M00000X
  • Specialty: Nursing Facility/Intermediate Care Facility
  • License Number: 036042568
  • License State: IL

Provider Mailing Address

  • Address: 5401 N Knoxville Ave
    Suite 406
    Peoria, IL 61614
  • Phone: 309-691-0030
  • Fax: 309-691-9262

Provider Practice Location

  • Address: 5401 N Knoxville Ave
    Suite 406
    Peoria, IL 61614
  • Phone: 309-691-0030
  • Fax: 309-691-9262

Authorized Official

  • Name: Phillip Arthur Immesoete M.D.
  • Position/Title: Physician
  • Telephone Number: 309-691-0030

Scope of Practice

  • Taxonomy Code: 313M00000X
  • Specialty: Nursing Facility/Intermediate Care Facility
  • License Number: 036042568
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036042568
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Phillip A. Immesoete Md, Ltd?
  • A: The npi number for Phillip A. Immesoete Md, Ltd is 1245544543.
  • Q: What are Phillip A. Immesoete Md, Ltd's specialties?
  • A: Phillip A. Immesoete Md, Ltd's specialties are Nursing Facility/Intermediate Care Facility and different specialities.
  • Q: Where is Phillip A. Immesoete Md, Ltd business practice location?
  • A: Phillip A. Immesoete Md, Ltd business practice location is 5401 N Knoxville Ave, Peoria, IL 61614.
  • Q: How to contact Phillip A. Immesoete Md, Ltd?
  • A: You can contact Phillip A. Immesoete Md, Ltd via 309-691-0030.
  • Q: What is the authorized official for Phillip A. Immesoete Md, Ltd?
  • A: The authorized office name is Phillip Arthur Immesoete M.D. with position/title is Physician and you can reach the authorized official via phone number 3096910030.
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