NPIMap

Organization Active NPI

Daniel M Couri LTD

  • Cardiovascular Disease Physician
  • Peoria, IL
National Provider Identifier
1457770646
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DANIEL M COURI LTD
Practice address
515 NE Glen Oak Ave
Suite 105
Peoria, IL 61603-3136
Phone
(309) 674-2002
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Daniel M Couri, M.D.
Title
President
Phone
(309) 674-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

515 NE Glen Oak Ave
Suite 105
Peoria, IL 61603-3136

Mailing address

515 NE Glen Oak Ave
Suite 105
Peoria, IL 61603-3136
Phone (309) 674-2002

National Provider Directory

National Provider Directory

Locations

515 NE Glen Oak Ave
Ste 105
Peoria, IL 61603
Phone (309) 674-2002

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1457770646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE GLEN OAK AVE",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033136",
            "telephone_number": "309-674-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NE GLEN OAK AVE",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033136",
            "telephone_number": "309-674-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M COURI LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "COURI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-674-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "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 Apr 15, 2014; 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.