Peoria Eye Clinic, Ltd

NPI 1366424756 - Ophthalmology - 207W00000X

NPI Details
NPI 1366424756
Enumeration Date 11/19/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN C JOHN
Position PRESIDENT
Phone (309) 676-2020
Fax (309) 673-2020
Practice Location
2422 W NEBRASKA AVE
PEORIA IL, 61604-3112, US
Phone (309) 676-2020
Fax (309) 673-2020
Business Location
2422 W NEBRASKA AVE
PEORIA IL, 61604-3112, US
Phone (309) 676-2020
Fax (309) 673-2020
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Peoria Eye Clinic, Ltd NPI is 1366424756, taxonomy code is 207W00000X Peoria Eye Clinic, Ltd physically located at 2422 W Nebraska Ave, Peoria IL, 61604-3112. NPI Number 1033115704 has the healthcare provider type.

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1366424756 NPI number is provided on an as is basis without warranty of any kind. 1366424756 is maintained by the National Plan & Provider Enumeration System. The contents of Peoria Eye Clinic, Ltd are for informational purposes only.