| Proctor Health Systems | |
|
12315 N Knoxville Ave Dunlap IL 61525-9501 | |
| (309) 243-5575 | |
| (309) 243-5764 |
| Full Name | Proctor Health Systems |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12315 N Knoxville Ave, Dunlap, Illinois |
| Authorized Official Name and Position | Carrie Chiaravalle (DIRECTOR) |
| Authorized Official Contact | 3096896049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proctor Health Systems 5401 N Knoxville Ave Suite 209 Peoria IL 61614-5098 Ph: (309) 689-6049 | Proctor Health Systems 12315 N Knoxville Ave Dunlap IL 61525-9501 Ph: (309) 243-5575 |
| NPI Number | 1629022447 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629022447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |