Visiting Physicians of Peoria INC

NPI #1619376720 in Morton, Illinois

Provider Information

NPI Number: 1619376720
Entity Type: Organization
Organization Name: Visiting Physicians of Peoria INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 612 W JACKSON ST
City: Morton
State: Illinois
ZIP Code: 61550-1536
Phone: (309) 263-4787

Authorized Official

Name: JUSTIN HOLLOWAY
Title: IT/COORDINATOR
Phone: (309) 263-4787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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