| D Teichmann Pc | |
|
4715 N Laurel Dr Peoria IL 61614-5533 | |
| (309) 691-7161 | |
| Not Available |
| Full Name | D Teichmann Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4715 N Laurel Dr, Peoria, Illinois |
| Authorized Official Name and Position | Dietra Duffala Teichmann (OWNER) |
| Authorized Official Contact | 3096917161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Teichmann Pc 4715 N Laurel Dr Peoria IL 61614-5533 Ph: (309) 691-7161 | D Teichmann Pc 4715 N Laurel Dr Peoria IL 61614-5533 Ph: (309) 691-7161 |
| NPI Number | 1235219973 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235219973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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