| |
24737 N Lake Pleasant Pkwy Ste 106, Peoria, AZ 85383-1569 | |
(623) 289-3200 | |
(623) 223-5072 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 24737 N Lake Pleasant Pkwy Ste 106, Peoria, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679245385 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
---|---|
2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | 24737 N Lake Pleasant Pkwy Ste 106, Peoria, AZ 85383-1569 Ph: (623) 289-3200 |