Organization · Type 2 NPI
Perfectbalance MD SC
General Practice Physician · Peoria, IL
NPI number
1912367582
Active
Practice location
7720 N Grand Prairie Dr
Peoria, IL 61615-9242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036086752 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Peoria
About NPI 1912367582
Perfectbalance MD SC's National Provider Identifier is 1912367582, issued on Feb 25, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 4, 2016.