Individual
DR. DENNIS ALAN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 W BELMONT AVE STE 100, CHICAGO, IL 60657
(312) 694-2273
(312) 694-1875
Mailing address
680 N. LAKE SHORE DRIVE, CHICAGO, IL 60611-2987
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.141382
IL
207R00000X
Internal Medicine Physician
200700
LA
208000000X
Pediatrics Physician
036.141382
IL
208000000X
Pediatrics Physician
200700
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05024018
—
MS
05
—
1073849
—
LA
Enumeration date
05/11/2007
Last updated
05/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us