Proctor Health Systems

NPI #1306890108 in Peoria, Illinois

Provider Information

NPI Number
1306890108
Entity Type
Organization
Organization Name
Proctor Health Systems
Subpart
Yes (part of a larger organization)
Parent Organization
PROCTOR HEALTH SYSTEMS
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 19, 2006
Last Updated
Aug 7, 2007

Practice Location

Address
5401 N KNOXVILLE AVE
Address 2
SUITE 300
City
Peoria
ZIP Code
61614-5098
Phone
(309) 683-1200

Authorized Official

Name
CARRIE CHIARAVALLE
Title
DIRECTOR
Phone
(309) 689-6049

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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