Daniel W Palmer Jr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036085061 Issued in IL

Practice address

120 NE Glen Oak Ave
Suite 408
Peoria, IL 61603-4314

Phone

(309) 672-3158

Fax

(309) 672-3114

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lilia C Palmer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1225145196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 VIRGINIA AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473314314",
            "telephone_number": "765-827-8064",
            "fax_number": "765-825-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE GLEN OAK AVE",
            "address_2": "SUITE 408",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616034314",
            "telephone_number": "309-672-3158",
            "fax_number": "309-672-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DANIEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036085061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "PALMER",
            "middle_name": "C",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eunice Paik
• Keerthana Palaniappa Sivakolundu, M.D
• Nicholas Palcheff
• Vijayasree Paleru, M.D.
• Alexandra Joelle Palmer
• Michael A Palmer, RPH
• Tammy Palmer
• Aadi Rajeevkumar Palvia, MBBS
• Erica Pamson
• Raymond Pancho Panaligan

• Specialist in Peoria, IL
• Providers in Peoria, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.