Petersen Health Care - Illini, LLC
NPI #1619083730 in Champaign, Illinois
Provider Information
- NPI Number
- 1619083730
- Entity Type
- Organization
- Organization Name
- Petersen Health Care - Illini, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Feb 14, 2024
Practice Location
Authorized Official
- Name
- MARK B. PETERSEN
- Title
- PRESIDENT
- Phone
- (309) 691-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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