Pekin Prohealth INC

NPI #1932150299 in Pekin, Illinois

Provider Information

NPI Number: 1932150299
Entity Type: Organization
Organization Name: Pekin Prohealth INC
Primary Specialty: Family Medicine
Enumeration Date: May 12, 2006
Last Updated: Mar 18, 2013

Practice Location

Address: 600 S 13TH ST
Address 2: SUITE M
City: Pekin
State: Illinois
ZIP Code: 61554-4936
Phone: (309) 353-0825

Authorized Official

Name: JANET VANDYKE
Title: BILLING SUPERVISOR
Phone: (309) 353-0799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X
Internal Medicine	207R00000X
Pediatrics	208000000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Orthopaedic Surgery	207X00000X
Urology	208800000X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X
Family Medicine	207Q00000X	Primary

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