Tyrian Healthcare, LLC
NPI #1447881487 in West Peoria, Illinois
Provider Information
- NPI Number
- 1447881487
- Entity Type
- Organization
- Organization Name
- Tyrian Healthcare, LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Aug 30, 2021
Practice Location
- Address
- 2120 W HEADING AVE
- City
- West Peoria
- State
- Illinois
- ZIP Code
- 61604-5138
- Phone
- (309) 306-1039
Authorized Official
- Name
- MR. TOUFIC S KHAIRALLAH, APRN, FNP-BC
- Title
- PRESIDENT & CEO/ NURSE PRACTITIONER
- Phone
- (309) 306-1039
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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