Proctor Health Systems

NPI #1720223837 in Peoria, Illinois

Provider Information

NPI Number
1720223837
Entity Type
Organization
Organization Name
Proctor Health Systems
Subpart
Yes (part of a larger organization)
Parent Organization
PROCTOR HEALTH SYSTEMS
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 4, 2008
Last Updated
Dec 4, 2008

Practice Location

Address
5401 N KNOXVILLE AVE
Address 2
STE 217
City
Peoria
ZIP Code
61614-5098
Phone
(309) 691-1092

Authorized Official

Name
DENISE BRINKER
Title
SYSTEM ANALYST
Phone
(390) 689-6089

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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