Bldg B | |
2900 W Heading Ave Bldg B West Peoria IL 61604-4868 | |
(309) 636-8012 | |
(309) 636-8097 |
Full Name | Bldg B |
---|---|
Speciality | Community/behavioral Health |
Location | 2900 W Heading Ave, West Peoria, Illinois |
Authorized Official Name and Position | Peggy A Arizzi (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3096368012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bldg B 2900 W Heading Ave West Peoria IL 61604-4868 Ph: (309) 636-8012 | Bldg B 2900 W Heading Ave Bldg B West Peoria IL 61604-4868 Ph: (309) 636-8012 |
NPI Number | 1376860437 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 04/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376860437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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