Edward W Pegg Md, Llc is a Neurology Clinic in Bloomington, Illinois. It is located at 1505 Eastland Dr Ste 2400, Bloomington, IL and its contact number is 309-661-7344. The authorized person for Edward W Pegg Md, Llc is Edward W Pegg Iii
who is Owner of the clinic and his/her contact number is 309-661-7344. The primary license number for Edward W Pegg Md, Llc is 036071077 (Neurology) in Illinois. Edward W Pegg Md, Llc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Edward W Pegg Md, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Edward W Pegg Md, Llc
Specialization:
Neurology
Clinic Address:
1505 Eastland Dr Ste 2400, Bloomington, Illinois, 61701-7911
Phone:
309-661-7344
Fax:
309-661-7343
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Edward W Pegg Iii
Position:
Owner
Contact Number:
309-661-7344
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Edward W Pegg Md, Llc clinic are as mentioned below.
NPI Number:
1568667772
NPI Enumeration Date:
18 Jun, 2007
NPI Last Update On:
29 May, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward W Pegg Md, Llc are as mentioned below.
Specialization
License Number
State
Status
Neurology
036071077
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
05732102
Other
Illinois
Bcbs
1043392160
Other
Illinois
Individual Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Edward W Pegg Md, Llc 1505 Eastland Dr Ste 2400, Bloomington, Illinois
Zip:
61701-7911
Phone Number:
309-661-7344
Fax Number:
309-661-7343
Patients can reach Edward W Pegg Md, Llc at 1505 Eastland Dr Ste 2400, Bloomington, Illinois or can call to book an appointment on 309-661-7344. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.