Tazwood Center For Human Services

NPI 1013960293 - Clinic/Center - 261QM0801X

NPI Details
NPI 1013960293
Enumeration Date 05/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position CEO
Phone (309) 347-5522
Fax (309) 347-4264
Practice Location
3248 VANDEVER AVE
PEKIN IL, 61554, US
Phone (309) 347-5522
Fax (309) 347-4264
Business Location
3248 VANDEVER AVE
PEKIN IL, 61554, US
Phone (309) 347-5522
Fax (309) 347-4264
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Tazwood Center For Human Services NPI is 1013960293, taxonomy code is 261QM0801X Tazwood Center For Human Services physically located at 3248 Vandever Ave, Pekin IL, 61554. NPI Number 1033115704 has the healthcare provider type.

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1013960293 NPI number is provided on an as is basis without warranty of any kind. 1013960293 is maintained by the National Plan & Provider Enumeration System. The contents of Tazwood Center For Human Services are for informational purposes only.