Organization · Type 2 NPI
Eagle Family Medicine SC
Primary Care Clinic/Center · Peoria, IL
NPI number
1659409290
Active
Practice location
2809 W Willow Knolls Suite C
Peoria, IL 61614-8259
Fax (309) 692-6492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1659409290
Eagle Family Medicine SC's National Provider Identifier is 1659409290, issued on Mar 2, 2007. 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 Jul 10, 2008.