Central Illinois Arthritis and Rehabilitation Center PC
Organization Active NPI Specialist · Pekin, IL
NPI 1386764033 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1386764033
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CENTRAL ILLINOIS ARTHRITIS AND REHABILITATION CENTER PC
- Practice address
- 19 Olt Ave
Pekin, IL 61554-6216 - Phone
- (309) 353-5921
- Fax
- (309) 353-6872
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Daryl Keith Miller, M.D.
- Title
- Vice-President
- Phone
- (309) 353-5921
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | IL | Yes |
Addresses
Primary practice location
19 Olt Ave
Pekin, IL 61554-6216
Mailing address
19 Olt Ave
Pekin, IL 61554-6216
Phone (309) 353-5921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09032039 | Other | IL | BLUE CROSS BLUE SHIELD |
| DB6931 | Other | IL | MEDICARE RAILROAD |
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.