DR. DANIEL W PALMER JR. (NPI# 1225145196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225145196 |
| Entity Type | Individual |
| Full Name | DR. DANIEL W PALMER JR. |
| Other Name | MRS. LILIA C PALMER |
| Credential | MD |
| Practice Address |
120 Ne Glen Oak Ave Suite 408 Peoria IL 61603-4314 |
| Mailing Address |
2205 Virginia Ave Connersville IN 47331-4314 |
| Practice Telephone | 3096723158 |
| Practice Fax Number | 3096723114 |
| Mailing Telephone | 7658278064 |
| Mailing Fax Number | 7658256999 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036085061 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881835759 | Daniel Kevin Palmer | Marriage & Family Therapist | 7901 Nw 16th St, Oklahoma City, OK 73127-3107 | 2009-03-23 |
| 1932656808 | Daniel Palmer | Physician Assistant | 524 S 1000 W, Payson, UT 84651-2617 | 2016-09-07 |
| 1437463460 | Daniel Palmer | Pharmacist | 7700 W Nw Hwy, Dallas, TX 75225-2288 | 2010-08-02 |
| 1295705465 | Daniel Scott Palmer | Physician Assistant | 7220 Mount Rushmore Rd, Rapid City, SD 57702-8754 | 2006-01-23 |
| Street Address |
120 NE GLEN OAK AVE SUITE 408 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184670663 | Methodist Medical Center of Illinois | Emergency Medicine | 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 | 2006-05-26 |
| 1871047977 | Maren Thompson | Pharmacist | 120 Ne Glen Oak Ave, Suite 301, Peoria, IL 61603-4314 | 2016-08-08 |
| 1225234206 | Allergy and Asthma Carecenter Sc | Clinic/Center | 120 Ne Glen Oak Ave, Suite 408, Peoria, IL 61603-4314 | 2007-06-26 |
| 1063538940 | Joan K Selburg | Specialist/Technologist, Other | 120 Ne Glen Oak Ave, Suite 407, Peoria, IL 61603-4301 | 2007-03-22 |
| 1104986330 | Diane Lynn Dunniway | Nurse Practitioner | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1609936707 | Kindred LLC | Obstetrics & Gynecology | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1912912213 | Vaughn Hanna | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-29 |
| 1811901929 | Joseph Couri | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-27 |
| 1528089687 | Gurramkonda Naidu | Family Medicine | 120 Ne Glen Oak Ave, Suite 306, Peoria, IL 61603-4314 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1023495199 | Judith Woehrle | Specialist | 8721 W Tonopah Dr, Peoria, AZ 85382-6402 | 2015-04-28 |
| 1699184606 | Denise M Brock | Specialist | 18969 N 83rd Ave, Suite 200, Peoria, AZ 85382-2844 | 2014-08-05 |
| 1326482076 | Corpo Bello Full Service Day Spa | Specialist | 1703 W Candletree Dr, Suite B, Peoria, IL 61614-1591 | 2013-04-24 |
| 1952698573 | Rashael D. Achinivu | Specialist | 24654 N Lake Pleasant Pkwy # 103-157, Peoria, AZ 85383-1359 | 2011-07-03 |
| 1174820633 | Three Paths Massage Therapy | Specialist | 5901 N Prospect Rd Ste 102, Peoria, IL 61614-4395 | 2011-02-18 |
| 1316171739 | Associated Orthopedics Sc | Specialist | 10326 N Juliet Ct, Peoria, IL 61615-1199 | 2009-05-13 |
| 1902040124 | Comprehensive Orthopedics, P. C. | Specialist | 5401 North Knoxville Ave, Suite 400, Peoria, IL 61614-5021 | 2009-05-01 |
| 1922250414 | Amy C Watt | Specialist | 507 E Armstrong Avenue, Peoria, IL 61603 | 2008-10-16 |
| 1467634477 | Richard M. Kootman M.d.,p.c. | Specialist | 13943 N. 91st Ave Bldg G, Peoria, AZ 85381-3687 | 2007-11-30 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.