Organization · Type 2 NPI
Streator Chidlrens Clinic
Specialist · Streator, IL
NPI number
1720453202
Active
Practice location
111 Spring St Fl 5
Streator, IL 61364-3332
Fax (815) 673-2486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036091951 (IL) |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Streator
About NPI 1720453202
Streator Chidlrens Clinic's National Provider Identifier is 1720453202, issued on Dec 9, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Streator, IL. The record was last updated on Jun 29, 2022.