| Great Plains, LLC | |
|
303 N William Kumpf Blvd Peoria IL 61605-2507 | |
| (309) 676-5546 | |
| (309) 676-5045 |
| Full Name | Great Plains, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 303 N William Kumpf Blvd, Peoria, Illinois |
| Authorized Official Name and Position | Janet E Smith (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3096765546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Plains, LLC 303 N William Kumpf Blvd Peoria IL 61605-2507 Ph: (309) 676-5546 | Great Plains, LLC 303 N William Kumpf Blvd Peoria IL 61605-2507 Ph: (309) 676-5546 |
| NPI Number | 1811220650 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 09/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811220650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 7003146 (Illinois) | Primary |
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