| Proctor Hospital | |
|
5409 N Knoxville Ave Peoria IL 61614-5069 | |
| (309) 691-1000 | |
| (309) 671-8265 |
| Full Name | Proctor Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5409 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Deborah R. Simon (PRESIDENTCEO) |
| Authorized Official Contact | 3096725928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proctor Hospital 5409 N Knoxville Ave Peoria IL 61614-5069 Ph: (309) 672-4813 | Proctor Hospital 5409 N Knoxville Ave Peoria IL 61614-5069 Ph: (309) 691-1000 |
| NPI Number | 1134475940 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 01/23/2015 |
| Medicare PECOS PAC ID | 9537077391 |
|---|---|
| Medicare Enrollment ID | O20121130000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134475940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2087309 (Illinois) | Secondary |
| 273R00000X | Psychiatric Unit | 0001925 (Illinois) | 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 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
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 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Meredith Messina Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 N Sterling Ave Ste 300a, Peoria, IL 61615 Phone: 309-323-0032 |