| Easter Seals - Ucp | |
|
507 E Armstrong Ave Peoria IL 61603-3201 | |
| (309) 686-1777 | |
| (309) 686-7722 |
| Full Name | Easter Seals - Ucp |
|---|---|
| Speciality | Voluntary or Charitable |
| Location | 507 E Armstrong Ave, Peoria, Illinois |
| Authorized Official Name and Position | Melissa Riddle (PRESIDENT) |
| Authorized Official Contact | 3096861177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals - Ucp 507 E Armstrong Ave Peoria IL 61603-3201 Ph: (309) 686-1177 | Easter Seals - Ucp 507 E Armstrong Ave Peoria IL 61603-3201 Ph: (309) 686-1777 |
| NPI Number | 1467434795 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 2062607559 |
|---|---|
| Medicare Enrollment ID | O20210817002944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467434795 | NPI | - | NPPES |
| ========= | Medicaid | IL |
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