Active NPI
Eric Dunigan
- Social Worker
- Peoria, IL
National Provider Identifier
1063879542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.015739
- Practice address
- 7717 N Orange Prairie Rd
Peoria, IL 61615-9323 - Phone
- (309) 684-4650
- NPI assigned
- Jan 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.015739 | IL | Primary |
Addresses
Primary practice location
7717 N Orange Prairie Rd
Peoria, IL 61615-9323
Mailing address
2516 N Wilson Dr
Peoria, IL 61604-2465
Phone (309) 684-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822003024 | IL | Order and Referring Only - Clinical Social Worker | 8628578705 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.015739 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1063879542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 N WILSON DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616042465",
"telephone_number": "309-684-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 N ORANGE PRAIRIE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159323",
"telephone_number": "309-684-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNIGAN",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.015739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.