Provider Demographics
NPI:1801907290
Name:NEONATOLOGY ASSOCIATES, S.C.
Entity type:Organization
Organization Name:NEONATOLOGY ASSOCIATES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:309-353-4483
Mailing Address - Street 1:PO BOX 1186
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61555-1186
Mailing Address - Country:US
Mailing Address - Phone:309-353-4483
Mailing Address - Fax:309-353-7713
Practice Address - Street 1:530 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-0001
Practice Address - Country:US
Practice Address - Phone:309-655-2485
Practice Address - Fax:309-655-2974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty