Medmark Treatment Centers East Peoria | |
731 Sabrina Dr Unit C East Peoria IL 61611-3582 | |
(877) 592-5901 | |
(402) 592-5901 |
Full Name | Medmark Treatment Centers East Peoria |
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Speciality | Clinic/Center |
Location | 731 Sabrina Dr Unit C, East Peoria, Illinois |
Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
Authorized Official Contact | 2143793300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medmark Treatment Centers East Peoria 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Medmark Treatment Centers East Peoria 731 Sabrina Dr Unit C East Peoria IL 61611-3582 Ph: (877) 592-5901 |
NPI Number | 1073944567 |
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Provider Enumeration Date | 12/09/2013 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Medicare PECOS PAC ID | 7113380858 |
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Medicare Enrollment ID | O20230829003038 |
Identifier | Type | State | Issuer |
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1073944567 | NPI | - | NPPES |
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