Individual
DR. ERIC A VENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-3091
(309) 655-2000
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
32544
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
036.167954
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7049
HEALTHNET
AZ
01
—
852112
AHCCCS
AZ
01
—
AZ0324990
BCBS
AZ
Enumeration date
05/03/2006
Last updated
07/02/2024
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