| Pekin Family Practice, PC | |
|
2401 Broadway St Ste B Pekin IL 61554-3905 | |
| (309) 349-8700 | |
| (309) 349-8701 |
| Full Name | Pekin Family Practice, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2401 Broadway St Ste B, Pekin, Illinois |
| Authorized Official Name and Position | Curtis William Fisher (PRESIDENT) |
| Authorized Official Contact | 3093472700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pekin Family Practice, PC 2401 Broadway St Ste B Pekin IL 61554-3905 Ph: (309) 349-8700 | Pekin Family Practice, PC 2401 Broadway St Ste B Pekin IL 61554-3905 Ph: (309) 349-8700 |
| NPI Number | 1538138938 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 4880589993 |
|---|---|
| Medicare Enrollment ID | O20040218000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538138938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0600006249 (Illinois) | Primary |
| Provider Name | Curtis W Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710941331 PECOS PAC ID: 4082508544 Enrollment ID: I20040214000123 |
Comprehensive Healthcare, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Broadway St, Lower Level, Pekin, IL 61554 Phone: 309-349-3175 Fax: 309-620-8751 |
Heartland Health Services - Olt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 |
Mayclare III PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 13th St, Suite E, Pekin, IL 61554 Phone: 309-353-0473 Fax: 309-347-3148 |
Home Visiting Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Court Street, Suite B, Pekin, IL 61554 Phone: 309-267-2034 Fax: 309-402-0180 |
Innovative Medical Therapies LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 Broadway St, Suite B, Pekin, IL 61554 Phone: 309-347-2700 |
Planned Parenthood of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 S 4th Street, Pekin, IL 61554 Phone: 309-347-1274 Fax: 309-347-6283 |