Prairie Surgicare, LLC

NPI #1336408038 in Peoria, Illinois

Provider Information

NPI Number
1336408038
Entity Type
Organization
Organization Name
Prairie Surgicare, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 15, 2012
Last Updated
May 15, 2012

Practice Location

Address
7620 N UNIVERSITY ST
Address 2
SUITE 101
City
Peoria
ZIP Code
61614-8300
Phone
(309) 691-7774

Authorized Official

Name
DR. RICHARD KUBE II, MD, FACSS
Title
OWNER/MEDICAL DIRECTOR
Phone
(309) 691-7774

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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