Organization · Type 2 NPI

Susan J Cole, MD & Associates

Medical Specialty Clinic/Center · Peoria, IL

NPI number 1083848188 Active

Practice location

5401 N Knoxville Ave, Suite 107
Peoria, IL 61614-5098

Call (309) 691-2311 Map

Fax (309) 691-2320

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X036062798 (IL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

79 other providers at this address

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About NPI 1083848188

Susan J Cole, MD & Associates's National Provider Identifier is 1083848188, issued on May 5, 2009. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Peoria, IL. The record was last updated on May 5, 2009.