| Mayclare II Ltd | |
|
3223 Griffin Ave Pekin IL 61554 | |
| (309) 347-9709 | |
| (309) 347-1719 |
| Full Name | Mayclare II Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 3223 Griffin Ave, Pekin, Illinois |
| Authorized Official Name and Position | Michael P Honan (PHYSICIAN) |
| Authorized Official Contact | 3093479709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayclare II Ltd 3223 Griffin Ave Pekin IL 61554-6214 Ph: (309) 347-9709 | Mayclare II Ltd 3223 Griffin Ave Pekin IL 61554 Ph: (309) 347-9709 |
| NPI Number | 1659442432 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659442432 | NPI | - | NPPES |
| DA4767 | Other | IL | RAIL ROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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