Organization · Type 2 NPI
Prairie Surgicare, LLC
Ambulatory Surgical Clinic/Center · Peoria, IL
NPI number
1336408038
Active
Practice location
7620 N University St, Suite 101
Peoria, IL 61614-8300
Fax (309) 689-5768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1336408038
Prairie Surgicare, LLC's National Provider Identifier is 1336408038, issued on May 15, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Peoria, IL. The record was last updated on May 15, 2012.