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Edward W Pegg Md, Llc
Neurology Physician in Bloomington, Illinois
NPI 1568667772

Edward W Pegg Md, Llc is a Neurology Physician based in Bloomington, IL and is specialized in Neurology. Edward W Pegg Md, Llc practices in Bloomington, IL. The NPI Number for Edward W Pegg Md, Llc is 1568667772 and holds a License No. 036071077 (Illinois).

The current practice location address for Edward W Pegg Md, Llc is 1505 Eastland Dr Ste 2400, Bloomington, IL and can be reached out via phone at 309-661-7344 and via fax at 309-661-7343.

Location: 1505 Eastland Dr Ste 2400, Bloomington, IL, 61701-7911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568667772
Provider Name
Edward W Pegg Md, Llc
Credential
Provider Entity Type
Organization
Address
1505 Eastland Dr Ste 2400, Bloomington, IL, 61701-7911
Phone Number
309-661-7344
Fax Number
309-661-7343
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05732102 01 IL BCBS
1043392160 01 IL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1505 Eastland Dr Ste 2400
City
Bloomington
State
Illinois
Zip
61701-7911
Phone Number
309-661-7344
Fax Number
309-661-7343
person
Provider Business Mailing Address Details
Address
1505 Eastland Dr Ste 2400
City
Bloomington
State
Illinois
Zip
61701-7911
Phone Number
309-661-7344
Fax Number
309-661-7343
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
036071077 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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