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David J Coynik, Md,pc
Medical Specialty Clinic/Center in Peru, Illinois
NPI 1225214323

David J Coynik, Md,pc is a Medical Specialty Clinic/Center based in Peru, IL and is specialized in Medical Specialty. David J Coynik, Md,pc practices in Peru, IL. The NPI Number for David J Coynik, Md,pc is 1225214323 and holds a License No. 036055725 (Illinois).

The current practice location address for David J Coynik, Md,pc is 4413 N. Progress Blvd., Peru, IL and can be reached out via phone at 815-223-6975 and via fax at 815-223-0640.

Location: 4413 N. Progress Blvd., Peru, IL, 61354-2763
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225214323
Provider Name
David J Coynik, Md,pc
Credential
Provider Entity Type
Organization
Address
4413 N. Progress Blvd., Peru, IL, 61354-2763
Phone Number
815-223-6975
Fax Number
815-223-0640
Provider Enumeration Date
01/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4413 N. Progress Blvd.
City
Peru
State
Illinois
Zip
61354-2763
Phone Number
815-223-6975
Fax Number
815-223-0640
person
Provider Business Mailing Address Details
Address
4413 N. Progress Blvd.
City
Peru
State
Illinois
Zip
61354-2763
Phone Number
815-223-6975
Fax Number
815-223-0640
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036055725 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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