Organization · Type 2 NPI

Proctor Health Systems

Primary Care Clinic/Center · Peoria, IL

NPI number 1306890108 Active

Practice location

5401 N Knoxville Ave, Suite 300
Peoria, IL 61614-5098

Call (309) 683-1200 Map

Fax (309) 691-1705

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1306890108

Proctor Health Systems's National Provider Identifier is 1306890108, issued on May 19, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Peoria, IL. The record was last updated on Aug 7, 2007.