| Peoria Urological Associates S.c | |
|
7309 N Knoxville Ave Peoria IL 61614-2085 | |
| (309) 692-9898 | |
| Not Available |
| Full Name | Peoria Urological Associates S.c |
|---|---|
| Speciality | Urology |
| Location | 7309 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Joseph Banno (CEO) |
| Authorized Official Contact | 3096929898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoria Urological Associates S.c 7309 N Knoxville Ave Peoria IL 61614-2085 Ph: (309) 692-9898 | Peoria Urological Associates S.c 7309 N Knoxville Ave Peoria IL 61614-2085 Ph: (309) 692-9898 |
| NPI Number | 1538123468 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538123468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
| 208800000X | Urology | (* (Not Available)) | Primary |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
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Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
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