DR. LAYNE T. LOVELL M.D. NPI 1366485906

Family Medicine in Peoria, IL

About LAYNE LOVELL

Layne Lovell is a provider in Peoria, IL with more than 41 years of experience. The NPI number assigned to this provider is 1366485906. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Layne Lovell is registered with Medicare and accepts claims assignment.

NPI1366485906 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. LAYNE T. LOVELL M.D.
Provider Location Address530 NE GLEN OAK AVE PEORIA, IL 61637 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2026 W GERALD DR PEORIA, IL 61615 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1977
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-13-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-20-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. LAYNE T. LOVELL M.D.
530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637
Phone: (309) 655-2000
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Mailing Address

DR. LAYNE T. LOVELL M.D.
2026 W GERALD DR
PEORIA, IL
ZIP 61615
Phone: (309) 243-2544

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.036062930
License StateIL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C45763MEDICARE UPIN (02)
809840OTHER (01)IL
809840032OTHER (01)IL
L06674MEDICAID (05)IL

Map Location


DR. LAYNE T. LOVELL M.D. address is 530 NE GLEN OAK AVE PEORIA, IL 61637

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013945849 DEBRA E BEACH APN
Individual
Nurse Practitioner530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2323
1104852631 JOANNA C GARDNER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1114970761CENTRAL ILLINOIS PATHOLOGY, SC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-9011
1205807187UNIVERSITY OF ILLINOIS
Organization
Pediatrics (Pediatric Critical Care Medicine)530 NE GLEN OAK AVE DEPT OF PEDIATRIC CRITICAL CARE
PEORIA, IL 61637
(309) 655-2250
1255301909UNIVERSITY OF ILLINOIS
Organization
Internal Medicine530 NE GLEN OAK AVE DEPT OF INTERNAL MEDICINE
PEORIA, IL 61637
(309) 655-3292
1356377626 GREG J TUDOR M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1477580116 LISA T BARKER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1477599272 MARC D SQUILLANTE D.O.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1487642419 ROSE M. HAISLER D.O.
Individual
Emergency Medicine (Emergency Medical Services)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1548201189DR. RAHUL K. CHAWLA MD
Individual
Pediatrics (Pediatric Critical Care Medicine)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2250
1619906146 PAUL M MATTHEWS M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1669400974 MICHAEL Y XU M.D., PH.D.
Individual
Psychiatry & Neurology (Neurology)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-8750
1669418380 PAMELA PECENKA ANP
Individual
Nurse Practitioner530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2323
1710922182 MICHELLE L BERTKE APN,CNP
Individual
Nurse Practitioner (Family)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2312
1750317327 JOSEPH A SOTTILE M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1770533119SAINT FRANCIS MEDICAL CENTER
Organization
Ambulance (Air Transport)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2000
1801881446MISS CARA L PHILLIPS PHARMD
Individual
Pharmacist530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2285
1902883648 SAMIR SAXENA MD
Individual
Internal Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 624-8818
1942238613 RICHARD F MILLER M.D.
Individual
Emergency Medicine530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2553
1952351397SAINT FRANCIS MEDICAL CENTER
Organization
Emergency Medicine (Emergency Medical Services)530 NE GLEN OAK AVE
PEORIA, IL 61637
(309) 655-2000