Streator Chidlrens Clinic

NPI #1720453202 in Streator, Illinois

Provider Information

NPI Number: 1720453202
Entity Type: Organization
Organization Name: Streator Chidlrens Clinic
Primary Specialty: Specialist
Enumeration Date: Dec 9, 2015
Last Updated: Jun 29, 2022

Practice Location

Address: 111 SPRING ST FL 5
City: Streator
State: Illinois
ZIP Code: 61364-3332
Phone: (815) 673-2353

Authorized Official

Name: MS. KEADY GILLMAN
Title: OFFICE MANAGER
Phone: (815) 673-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Specialist	174400000X	Primary

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