| NPI | 1124034459 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-31 |
| Last Updated | 2024-02-02 |
| Mailing Address | 645 W Main St Ottawa, IL 61350-2717 United States Phone: (815) 434-1977 | Fax: (815) 434-2022 📍 View Map |
| Primary Practice Address | 645 W Main St Ottawa, IL 61350-2717 United States Phone: (815) 434-1977 | Fax: (815) 434-2022 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IL | 36052926 | — |
| Other (non-Medicare) | IL | P01428101 | PALMETTO GBA |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | IL | 036052926 |
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About NPI 1124034459
Terry Wayne Love D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124034459. The primary specialty listed is Family Medicine. The provider is located in Ottawa, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124034459?
NPI 1124034459 belongs to Terry Wayne Love D.O., a Family Medicine in Ottawa, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124034459 active?
The current status of NPI 1124034459 in the NPPES registry is Active. The record was last updated on 2024-02-02.
What specialty is NPI 1124034459?
NPI 1124034459 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124034459?
You can verify NPI 1124034459 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124034459?
The primary practice address on file for NPI 1124034459 is 645 W Main St, Ottawa, IL 61350-2717. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124034459 issued?
NPI 1124034459 was first issued (enumerated) on 2006-07-31. The NPPES record was last updated on 2024-02-02.
Practice Location Map
Terry Wayne Love is located at 645 W Main St, Ottawa, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Terry Wayne Love. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124034459. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 036052926 | IL |