Organization · Type 2 NPI

Petersen Health Care - Illini, LLC

Skilled Nursing Facility · Champaign, IL

NPI number 1619083730 Active

Practice location

1315 Curt Drive
Champaign, IL 61820

Fax (217) 352-2607

Mailing address

830 W. Trailcreek Drive
Peoria, IL 61614

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0042440 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1619083730

Petersen Health Care - Illini, LLC's National Provider Identifier is 1619083730, issued on Aug 22, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Champaign, IL. The record was last updated on Feb 14, 2024.