Mayclare III PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0360868003 Issued in IL

Legal business name

MAYCLARE III PC

Practice address

600 S 13TH St
Suite E
Pekin, IL 61554-4936

Phone

(309) 353-0473

Fax

(309) 347-3148

NPI assigned

Aug 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael P Honan, MD

Title

President/Owner

Phone

(309) 353-0825

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1164770616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE E",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-353-0473",
            "fax_number": "309-347-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 13TH ST",
            "address_2": "SUITE E",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544936",
            "telephone_number": "309-353-0473",
            "fax_number": "309-347-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYCLARE III PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "HONAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "309-353-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "0360868003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martis Chiropractic
• Brittany Maskel, LPN
• Mary F Matheny, RPH
• Amanda May
• Mayclare II LTD
• Lori Mayo, LSW
• Mathew Craig McAdams, B.S.
• Emma McAvin, M.S. CCC-SLP
• Gelana L McCloud, LCPC
• Elizabeth Anne McCombs

• Internal Medicine Physician in Pekin, IL
• Providers in Pekin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.