Dr. Douglas Juvinall
Neurologist
200 E Pennsylvania Ave
Peoria
, Illinois 61603-3089
Dr. Douglas Juvinall
Neurologist
200 E Pennsylvania Ave
Peoria
, Illinois 61603-3089
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Douglas Juvinall
- 200 E Pennsylvania Ave
- Peoria, IL
- Zip : 61603-3089
- Phone :
Second Address
- Dr. Douglas Juvinall
- 200 E Pennsylvania Ave
- Peoria, IL
- Zip : 61603-3089
- Phone : (309) 624-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 036.145307 | IL |
National Provider Identifier
| NPI | 1023436995 |
|---|---|
| Provider Name | Dr. Douglas Juvinall |
| First Address | Peoria, IL 61603-3089 |
| Second Address | Peoria, IL 61603-3089 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2014 |
| Last Update Date | 09/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.