Proctor Community Hospital

NPI #1861026478 in Peoria, Illinois

Provider Information

NPI Number
1861026478
Entity Type
Organization
Organization Name
Proctor Community Hospital
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 24, 2020
Last Updated
Feb 24, 2020

Practice Location

Address
5401 N KNOXVILLE AVE STE 104
City
Peoria
ZIP Code
61614-5021
Phone
(309) 643-6205

Authorized Official

Name
MR. ROBERT A. QUIN
Title
CFO
Phone
(309) 671-4893

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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