Proctor Health Systems

NPI 1033163761 - Clinic/Center - 261QM2500X

NPI Details
NPI 1033163761
Enumeration Date 05/19/2006
Last Updated 08/07/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CARRIE CARRIE
Position DIRECTOR
Phone (309) 691-7800
Fax (309) 691-7899
Practice Location
5401 N KNOXVILLE AVE
SUITE 103
PEORIA IL, 61614-5098, US
Phone (309) 691-7800
Fax (309) 691-7899
Business Location
5401 N KNOXVILLE AVE
SUITE 209
PEORIA IL, 61614-5098, US
Phone (309) 689-6049
Fax (309) 689-6092
Toxanomy
Taxonomy Code 261QM2500X
License State
License Number
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According to our database, Proctor Health Systems NPI is 1033163761, taxonomy code is 261QM2500X Proctor Health Systems physically located at 5401 N Knoxville Ave, Peoria IL, 61614-5098. NPI Number 1033115704 has the healthcare provider type.

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1033163761 NPI number is provided on an as is basis without warranty of any kind. 1033163761 is maintained by the National Plan & Provider Enumeration System. The contents of Proctor Health Systems are for informational purposes only.