Organization
ADVANCED MOBILE DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY C CHIOU MD (PRESIDENT)
(309) 495-0240
Entity
Organization
Contact information
Practice address
7725 N KNOXVILLE AVE, PEORIA, IL 61614-2079
(309) 495-0003
(309) 495-0060
Mailing address
7725 N KNOXVILLE AVE, PEORIA, IL 61614-2079
(309) 495-0240
(309) 689-9035
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360520632
—
IL
05
—
036095602-1
—
IL
05
—
036098202-1
—
IL
01
—
7215166
CHIOU BCBS
IL
01
—
K18084
CHIOU PIN
IL
01
—
P00310240
CHIOU RAILROAD MC
IL
Enumeration date
07/09/2006
Last updated
03/09/2021
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