Central Illinois Endoscopy Center, LLC

NPI #1790924306 in Peoria, Illinois

Provider Information

NPI Number
1790924306
Entity Type
Organization
Organization Name
Central Illinois Endoscopy Center, LLC
Primary Specialty
Clinic/Center - Endoscopy
Enumeration Date
Feb 5, 2009
Last Updated
Feb 5, 2009

Practice Location

Address
1001 MAIN ST
Address 2
STE 530
City
Peoria
ZIP Code
61606-1907
Phone
(309) 495-1144

Authorized Official

Name
MRS. CATHERINE EMANUEL
Title
SECRETARY/TREASURER
Phone
(309) 672-4846

Specialties & Taxonomy Codes

Specialty
Clinic/Center - EndoscopyEndoscopy

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