Dr. Eric T Elwood
Plastic and Reconstructive Surgery
1001 Main Street 3rd Floor
Peoria
, Illinois 61606-2037
Dr. Eric T Elwood
Plastic and Reconstructive Surgery
1001 Main Street 3rd Floor
Peoria
, Illinois 61606-2037
(309) 495-0276
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Eric T Elwood
- 1001 Main Street 3rd Floor
- Peoria, IL
- Zip : 61606-2037
- Fax : (309) 495-0276
- Phone : (309) 495-0250
Second Address
- Dr. Eric T Elwood
- 1001 Main Street 3rd Floor
- Peoria, IL
- Zip : 61606-2037
- Fax : (309) 495-0276
- Phone : (309) 495-0250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 036103494 | IL |
National Provider Identifier
| NPI | 1033151162 |
|---|---|
| Provider Name | Dr. Eric T Elwood |
| First Address | Peoria, IL 61606-2037 |
| Second Address | Peoria, IL 61606-2037 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 27/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036103494 | (05) | IL |
| 7215166 | BLUE CROSS BLUE SHIELD (01) | IL |
| H43298 | (02) | IL |
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.