| Human Service Center | |
|
3420 N Rochelle Ln Peoria IL 61604-1035 | |
| (309) 222-2185 | |
| (309) 282-1089 |
| Full Name | Human Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3420 N Rochelle Ln, Peoria, Illinois |
| Authorized Official Name and Position | Michael Kennedy (PRESIDENT/CEO) |
| Authorized Official Contact | 3096718005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Service Center Po Box 1346 Peoria IL 61654-1346 Ph: (309) 671-8005 | Human Service Center 3420 N Rochelle Ln Peoria IL 61604-1035 Ph: (309) 222-2185 |
| NPI Number | 1144549494 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 12/14/2017 |
| Medicare PECOS PAC ID | 6901896968 |
|---|---|
| Medicare Enrollment ID | O20200114000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144549494 | NPI | - | NPPES |
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