John Joseph Farrell
Infectious Disease
Department Of Internal Medicine 530 Ne Glen Oak Drive
Peoria
, Illinois 61637-0001
John Joseph Farrell
Infectious Disease
Department Of Internal Medicine 530 Ne Glen Oak Drive
Peoria
, Illinois 61637-0001
(309) 624-8749
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- John Joseph Farrell
- 723 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61603-3252
- Phone : (309) 624-8749
Second Address
- John Joseph Farrell
- Department Of Internal Medicine 530 Ne Glen Oak Drive
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 655-7734
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 036111223 | IL |
National Provider Identifier
| NPI | 1043284649 |
|---|---|
| Provider Name | John Joseph Farrell |
| First Address | Peoria, IL 61603-3252 |
| Second Address | Peoria, IL 61637-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2006 |
| Last Update Date | 05/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036111223 | (05) | IL |
| 07215036 | BCBS (01) | IL |
| H09576 | (02) | IL |
| IL0104 | JOHN DEERE (01) | 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.