Organization · Type 2 NPI
University of Illinois
Pediatric Neurodevelopmental Disabilities Physician · Peoria, IL
NPI number
1174596225
Active
Practice location
515 NE Glen Oak Ave, Pediatric Neurology
Peoria, IL 61603-3165
Mailing address
1 Illini Dr
Peoria, IL 61605-2576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician Primary | 2080P0008X | None listed |
Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
4 other providers at this address
About NPI 1174596225
University of Illinois's National Provider Identifier is 1174596225, issued on Feb 9, 2006. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Peoria, IL. The record was last updated on Aug 22, 2020.