Active NPI
Friedrich J. Von Bun, M.D.,S.C.
- Clinic/Center
- Pekin, IL
National Provider Identifier
1942505664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 24781673
- Legal business name
- FRIEDRICH J. VON BUN, M.D.,S.C.
- Doing business as
- Pekin Pulmonary Clinic
- Practice address
- 1327 Executive CT
Pekin, IL 61554-6096 - Phone
- (309) 353-5864
- Fax
- (309) 353-4894
- NPI assigned
- Jan 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Friedrich Josef Von Bun, M.D.
- Title
- Owner
- Phone
- (309) 353-5864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 24781673 | IL | Primary |
Addresses
Primary practice location
1327 Executive CT
Pekin, IL 61554-6096
Mailing address
1327 Executive CT
Pekin, IL 61554-6096
Phone (309) 353-5864
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760489306 | Other | NPI | |
| 0360812671 | Medicaid | IL | |
| 290008130 | Other | RAILROAD MEDICARE | |
| 944370 | Other | PTAN |
Other names 1
- Pekin Pulmonary Clinic
National Provider Directory
National Provider DirectoryLocations
1327 Executive Ct
Pekin, IL 61554
Phone (309) 353-5864
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Jeffersonville, IN
- NPI 1861450280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294790400000",
"number": "1942505664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 EXECUTIVE CT",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546096",
"telephone_number": "309-353-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 EXECUTIVE CT",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546096",
"telephone_number": "309-353-5864",
"fax_number": "309-353-4894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDRICH J. VON BUN, M.D.,S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-12",
"last_updated": "2011-01-12",
"status": "A",
"authorized_official_last_name": "VON BUN",
"authorized_official_first_name": "FRIEDRICH",
"authorized_official_middle_name": "JOSEF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-353-5864",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "24781673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760489306",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360812671",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290008130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "944370",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pekin Pulmonary Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.