Organization · Type 2 NPI
Proctor Health Systems
Primary Care Clinic/Center · Dunlap, IL
NPI number
1629022447
Active
Practice location
12315 N Knoxville Ave
Dunlap, IL 61525-9501
Fax (309) 243-5764
Mailing address
5401 N Knoxville Ave, Suite 209
Peoria, IL 61614-5098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1629022447
Proctor Health Systems's National Provider Identifier is 1629022447, issued on May 19, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Dunlap, IL. The record was last updated on Aug 7, 2007.