Heartland Of Canton Il Llc

NPI 1437197845 - Clinic/Center - 261QR0400X

NPI Details
NPI 1437197845
Enumeration Date 06/04/2006
Last Updated 04/17/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BARRY A BARRY
Position VICE PRESIDENT - REIMBURSEMENTS
Phone (309) 647-6135
Fax (309) 647-6141
Practice Location
2081 N MAIN ST
CANTON IL, 61520-1032, US
Phone (309) 647-6135
Fax (309) 647-6141
Business Location
333 N SUMMIT ST
ATTN: BARRY LAZARUS
TOLEDO OH, 43604-1531, US
Phone (419) 252-5541
Fax (419) 252-5548
Toxanomy
Taxonomy Code 261QR0400X
License State
License Number
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According to our database, Heartland Of Canton Il Llc NPI is 1437197845, taxonomy code is 261QR0400X Heartland Of Canton Il Llc physically located at 2081 N Main St, Canton IL, 61520-1032. NPI Number 1033115704 has the healthcare provider type.

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1437197845 NPI number is provided on an as is basis without warranty of any kind. 1437197845 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Of Canton Il Llc are for informational purposes only.