| Proctor Medical Group Of Neurology | |
|
5401 N Knoxville Ave Suite 209 Peoria IL 61614-5098 | |
| (309) 691-1092 | |
| (309) 689-6092 |
| Full Name | Proctor Medical Group Of Neurology |
|---|---|
| Speciality | Clinic/center |
| Location | 5401 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Carrie Chiaravalle (DIRECTOR OPERATIONS) |
| Authorized Official Contact | 3096896049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proctor Medical Group Of Neurology 5401 N Knoxville Ave Suite 218 Peoria IL 61614-5098 Ph: (309) 693-2244 | Proctor Medical Group Of Neurology 5401 N Knoxville Ave Suite 209 Peoria IL 61614-5098 Ph: (309) 691-1092 |
| NPI Number | 1548460108 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548460108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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