Belcrest Services, Ltd
NPI #1124130208 in East Peoria, Illinois
Provider Information
- NPI Number
- 1124130208
- Entity Type
- Organization
- Organization Name
- Belcrest Services, Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BELCREST SERVICES, LTD
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 1, 2010
Practice Location
- Address
- 2535 E WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-1863
- Phone
- (309) 694-6464
Authorized Official
- Name
- MR. TODD J BAKER
- Title
- GENERAL MANAGER
- Phone
- (309) 685-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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