Eagle Family Medicine Sc

NPI #1659409290 in Peoria, Illinois

Provider Information

NPI Number
1659409290
Entity Type
Organization
Organization Name
Eagle Family Medicine Sc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 2, 2007
Last Updated
Jul 10, 2008

Practice Location

Address
2809 W WILLOW KNOLLS SUITE C
City
Peoria
ZIP Code
61614-8259
Phone
(309) 692-6604

Authorized Official

Name
MR. ROBERT SCOTT BEVILL, MD
Title
PHYSICIAN PRESIDENT
Phone
(309) 692-6604

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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