Epss Peoria LLC

NPI #1831421056 in Peoria, Illinois

Provider Information

NPI Number: 1831421056
Entity Type: Organization
Organization Name: Epss Peoria LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Feb 14, 2010
Last Updated: May 24, 2021

Practice Location

Address: 5409 N KNOXVILLE AVE
Address 2: ER DEPARTMENT
City: Peoria
State: Illinois
ZIP Code: 61614-5069
Phone: (309) 689-8603

Authorized Official

Name: DR. JAMES T HUBLER, MD
Title: MANAGING PARTNER
Phone: (817) 451-4208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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