BELCREST SERVICES, LTD (NPI# 1245275312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245275312 |
| Entity Type | Organization |
| Organization Name | BELCREST SERVICES, LTD |
| Practice Address |
1120 E War Memorial Dr Peoria Heights IL 61616-7757 |
| Mailing Address |
221 Ne Glen Oak Ave # Gomp100 Peoria IL 61636-0001 |
| Practice Telephone | 3096850100 |
| Practice Fax Number | 3096850172 |
| Mailing Telephone | 3096724813 |
| Mailing Fax Number | 3096718253 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | MR. STEPHEN M. CIRONE (MANAGER - REIMBURSEMENT RECOGNITION) |
| Authorized Official Telephone | 3096724813 |
| Is Organization Subpart | Y |
| Parent Organization Name | BELCREST SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629180799 | Belcrest Services, Ltd | Clinic/Center | 621 W Jackson St, Morton, IL 61550-1535 | 2006-08-31 |
| 1750493805 | Belcrest Services, Ltd | Clinic/Center | 3915 Barring Trce, Peoria, IL 61615-2500 | 2006-08-31 |
| 1922110089 | Belcrest Services, Ltd | Clinic/Center | 9118 N Lindbergh Dr, Peoria, IL 61615-1422 | 2006-08-31 |
| 1124130208 | Belcrest Services, Ltd | Clinic/Center | 2535 E Washington St, East Peoria, IL 61611-1863 | 2006-08-31 |
| Street Address |
1120 E WAR MEMORIAL DR |
| City | PEORIA HEIGHTS |
| State | IL |
| Zip Code | 61616-7757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255327631 | Stephen C Doughty | Internal Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2005-09-21 |
| 1629466743 | Lisa Friebohle | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2014-12-23 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1518058619 | James D Ausfahl | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1700977667 | Ioan Mosoiu | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1932290780 | Josef Unhold | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1710078563 | Ronald Sumner | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1851482731 | Donald Habecker | Internal Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1033200928 | Jumuna Patel | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| 1427149210 | Eldon Samuel | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616-7757 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| 1083759476 | Rose Garden Care Center Inc. | Skilled Nursing Facility | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2007-02-21 |
| 1699317594 | Aperion Care Peoria Heights LLC | Durable Medical Equipment & Medical Supplies | 1629 E Gardner Ln, Peoria Heights, IL 61616-3613 | 2019-10-11 |
| Find all providers in zip 61616 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | PEORIA HEIGHTS |
| Zip Code | 61616 |
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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.