| Pentus Health Wylie Llc | |
|
448 Wylie Dr Normal IL 61761-5405 | |
| (844) 973-6887 | |
| Not Available |
| Full Name | Pentus Health Wylie Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 448 Wylie Dr, Normal, Illinois |
| Authorized Official Name and Position | Ivan Reyes (ADMINISTRATOR) |
| Authorized Official Contact | 3523044109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pentus Health Wylie Llc 2273 Lee Rd Ste 101 Winter Park FL 32789-7213 Ph: () - | Pentus Health Wylie Llc 448 Wylie Dr Normal IL 61761-5405 Ph: (844) 973-6887 |
| NPI Number | 1043012313 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043012313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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