Belcrest Services, Ltd

NPI #1750493805 in Peoria, Illinois

Provider Information

NPI Number
1750493805
Entity Type
Organization
Organization Name
Belcrest Services, Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
BELCREST SERVICES, LTD
Primary Specialty
Clinic/Center
Enumeration Date
Aug 31, 2006
Last Updated
Feb 5, 2010

Practice Location

Address
3915 BARRING TRCE
City
Peoria
ZIP Code
61615-2500
Phone
(309) 689-3030

Authorized Official

Name
MR. TODD J BAKER
Title
GENERAL MANAGER
Phone
(309) 685-0100

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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