| Dr. Marc C Thevenin Jr. Pc | |
|
5116 N Big Hollow Rd Ste 101 Peoria IL 61615-3514 | |
| (309) 674-2000 | |
| Not Available |
| Full Name | Dr. Marc C Thevenin Jr. Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5116 N Big Hollow Rd Ste 101, Peoria, Illinois |
| Authorized Official Name and Position | Marc Thevenin (OWNER) |
| Authorized Official Contact | 3096742000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Marc C Thevenin Jr. Pc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Dr. Marc C Thevenin Jr. Pc 5116 N Big Hollow Rd Ste 101 Peoria IL 61615-3514 Ph: (309) 674-2000 |
| NPI Number | 1588179311 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588179311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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