Mayclare II Ltd

NPI #1659442432 in Pekin, Illinois

Provider Information

NPI Number: 1659442432
Entity Type: Organization
Organization Name: Mayclare II Ltd
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2006
Last Updated: Apr 14, 2008

Practice Location

Address: 3223 GRIFFIN AVE
City: Pekin
State: Illinois
ZIP Code: 61554
Phone: (309) 347-9709

Authorized Official

Name: MICHAEL P HONAN, M.D.
Title: PHYSICIAN
Phone: (309) 347-9709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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