Comprehensive Healthcare, Pc | |
2401 Broadway St Lower Level Pekin IL 61554-3905 | |
(309) 349-3175 | |
(309) 620-8751 |
Full Name | Comprehensive Healthcare, Pc |
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Speciality | Internal Medicine |
Location | 2401 Broadway St, Pekin, Illinois |
Authorized Official Name and Position | Jamaluddin F Amanullah (SOLE PROPRIETOR) |
Authorized Official Contact | 3093493175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comprehensive Healthcare, Pc 2401 Broadway St Lower Level Pekin IL 61554-3905 Ph: (309) 349-3175 | Comprehensive Healthcare, Pc 2401 Broadway St Lower Level Pekin IL 61554-3905 Ph: (309) 349-3175 |
NPI Number | 1053683474 |
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Provider Enumeration Date | 02/01/2012 |
Last Update Date | 02/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053683474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 136127585 (Illinois) | Primary |
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