1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Psychiatry Neurology
  6. NPI Profile

EDWARD W PEGG MD, LLC
NPI 1568667772
Psychiatry & Neurology - Neurology in Bloomington, IL

Active since June 18, 2007
1505 EASTLAND DR STE 2400, BLOOMINGTON, IL 61701(309) 661-7344(309) 661-7343 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward W Pegg Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD W PEGG MD, LLC (NPI 1568667772) is a healthcare organization registered as a neurology in Bloomington, Illinois and active in the NPI registry since June 2007. The organization lists Edward W Pegg, Owner, as its authorized official.

NPPES Registry Identity

NPI1568667772
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameEDWARD W PEGG MD, LLC
Location Address1505 EASTLAND DR STE 2400Bloomington, IL 61701-7911
Mailing Address1505 Eastland Dr Ste 2400Bloomington, IL 61701-7911 · (309) 661-7344 · Fax (309) 661-7343
Phone(309) 661-7344
Fax(309) 661-7343
Organization SubpartNo
Authorized OfficialEdward W PeggOwner · (309) 661-7344
Enumeration DateJune 18, 2007
Last NPPES UpdateMay 29, 2008
✔ NPI 1568667772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036071077
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.
1505 EASTLAND DR STE 2400, Bloomington, IL 61701
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINK26678IL
Other05732102IL · Bcbs
Other1043392160IL · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward W Pegg MD, LLC's NPI number?

The NPI number for Edward W Pegg MD, LLC is 1568667772. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Edward W Pegg MD, LLC located?

Edward W Pegg MD, LLC is located at 1505 Eastland Dr Ste 2400, Bloomington, IL 61701. The listed phone number is (309) 661-7344.

What is Edward W Pegg MD, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Edward W Pegg MD, LLC was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.