PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
NPI 1720223837
Clinic/Center - Ambulatory Surgical in Peoria, IL
NPI Status: Active since December 04, 2008
Contact Information
5401 N KNOXVILLE AVE
STE 217
PEORIA, IL
ZIP 61614
Phone: (309) 691-1092
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
About PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
This page provides the complete NPI Profile along with additional information for Proctor Medical Group Surgery - C K Song Md, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1720223837 assigned on December 2008. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Proctor Medical Group Surgery - C K Song Md. The authorized official of this NPI record is Denise Brinker (System Analyst)
- NPI
- 1720223837
- Provider Legal Name
- PROCTOR HEALTH SYSTEMS
- Other Organization Name
- PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5401 N KNOXVILLE AVE STE 217 PEORIA, IL 61614
- Location Phone
- (309) 691-1092
- Mailing Address
- 5401 N KNOXVILLE AVE STE 209 PEORIA, IL 61614
- Mailing Phone
- (309) 691-1092
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-04-2008
- Last Update Date
- 12-04-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for PROCTOR MEDICAL GROUP SURGERY - C K SONG MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 2 | 3 | 8 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 2 | 6 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 2 + 6 + 8 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1720223837 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. EDWARD A RUFUS JR MD
Internal Medicine
5401 N KNOXVILLE AVE
SUITE 306
PEORIA, IL
ZIP 61614
BRUCE BING CHIEN MD
Anesthesiology
(Pain Medicine)
5401 N KNOXVILLE AVE
STE 212
PEORIA, IL
ZIP 61614
DR. ROBERT ALLAN LIZER D.O.
Family Medicine
5401 N KNOXVILLE AVE
SUITE 412
PEORIA, IL
ZIP 61614
DIETRA DUFFALA TEICHMANN PH.D.
Clinical Neuropsychologist
5401 N KNOXVILLE AVE
SUITE 217
PEORIA, IL
ZIP 61614
DR. TIMOTHY M LAHOOD M.D.
Family Medicine
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL
ZIP 61614
DR. ANTOINETTE T LEVASSEUR M.D.
Obstetrics & Gynecology
5401 N KNOXVILLE AVE
SUITE 208
PEORIA, IL
ZIP 61614
MS. BARBARA J NALL APN
Nurse Practitioner
(Women's Health)
5401 N KNOXVILLE AVE
SUITE 308
PEORIA, IL
ZIP 61614
DR. GENE C CHENG M.D.
Psychiatry & Neurology
(Neurology)
5401 N KNOXVILLE AVE
SUITE 414
PEORIA, IL
ZIP 61614
DR. JAMES J MCCABE MD
Internal Medicine
(Pulmonary Disease)
5401 N KNOXVILLE AVE
SUITE 203
PEORIA, IL
ZIP 61614
PROCTOR HEALTH SYSTEMS
Clinic/Center
(Medical Specialty)
5401 N KNOXVILLE AVE
SUITE 103
PEORIA, IL
ZIP 61614
PROCTOR HEALTH SYSTEMS
Clinic/Center
(Rehabilitation)
5401 N KNOXVILLE AVE
SUITE 218
PEORIA, IL
ZIP 61614
PROCTOR HEALTH SYSTEMS
Clinic/Center
(Primary Care)
5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL
ZIP 61614
PROCTOR HEALTH SYSTEMS
Family Medicine
5401 N KNOXVILLE AVE
SUITE 209
PEORIA, IL
ZIP 61614
MRS. TAMARA L. OLT M.D.
Obstetrics & Gynecology
(Gynecology)
5401 N KNOXVILLE AVE
SUITE 109
PEORIA, IL
ZIP 61614
JEROME P KRAFT MD
Orthopaedic Surgery
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL
ZIP 61614
GEORGE W LANE SR. MD
Orthopaedic Surgery
5401 N KNOXVILLE AVE
SUITE 400
PEORIA, IL
ZIP 61614
MARY L BRENNAN NP
Nurse Practitioner
5401 N KNOXVILLE AVE
SUITE 119
PEORIA, IL
ZIP 61614
DR. CHANG KI SONG MD
Surgery
5401 N KNOXVILLE AVE
SUITE 217
PEORIA, IL
ZIP 61614
YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE
STE 117
PEORIA, IL
ZIP 61614
MS. TRACY ANN BOCHANTIN M.D.
Obstetrics & Gynecology
5401 N KNOXVILLE AVE
SUITE 308
PEORIA, IL
ZIP 61614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720223837, enumerated as an "organization" on December 04, 2008.
The provider is located at 5401 N KNOXVILLE AVE STE 217 PEORIA, IL 61614 and the phone number is (309) 691-1092.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to verify.
