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VASCULAR LABORATORY SERVICES
NPI 1699783886
Surgery - Vascular Surgery in Peoria, IL

Active since August 03, 2006
5409 N KNOXVILLE AVE, PEORIA, IL 61614(877) 852-4669 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vascular Laboratory Services NPPES

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

VASCULAR LABORATORY SERVICES (NPI 1699783886) is a healthcare organization registered as a vascular surgery in Peoria, Illinois and active in the NPI registry since August 2006. The organization lists James Debord, President, as its authorized official.

NPPES Registry Identity

NPI1699783886
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJAMES R DEBORD
Location Address5409 N KNOXVILLE AVEPeoria, IL 61614-5016
Mailing AddressPo Box 10140Peoria, IL 61612-0140 · (877) 852-4669
Phone(877) 852-4669
Organization SubpartNo
Authorized OfficialJames DebordPresident · (877) 852-4669
Enumeration DateAugust 3, 2006
Last NPPES UpdateJune 1, 2011
✔ NPI 1699783886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
5409 N KNOXVILLE AVE, Peoria, IL 61614
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Other Names 1

Other NameVascular Laboratory Services

Other Identifiers 4

Other330001311IL · Railroad Medicare
Other07200604IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified791280IL
Medicaid0360520633IL

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROCTOR COMMUNITY HOSPITAL
General Acute Care Hospital
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
CHELSEA KREJCI
Nurse Practitioner (Family)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
MRS. NICOLE LOVIN APN-CNP
Nurse Practitioner (Family)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
MONICA EVERETT PA-C
Physician Assistant
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
DAVID TENNANT
Family Medicine
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
ERIN K HOCKER OTR/L
Occupational Therapist
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
PROCTOR COMMUNITY HOSPITAL
Psychiatric Unit
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
PROCTOR COMMUNITY HOSPITAL
Rehabilitation Unit
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000

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 James R Debord's NPI number?

The NPI number for James R Debord is 1699783886. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is also known as Vascular Laboratory Services.

Where is James R Debord located?

James R Debord is located at 5409 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (877) 852-4669.

What is James R Debord's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for James R Debord was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.