| Good Health Medical Center S.c. | |
|
4422 N Brandywine Dr Peoria IL 61614-5509 | |
| (309) 686-4422 | |
| (309) 686-4421 |
| Full Name | Good Health Medical Center S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4422 N Brandywine Dr, Peoria, Illinois |
| Authorized Official Name and Position | Ziad Musaitif (OWNER) |
| Authorized Official Contact | 3096864422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Health Medical Center S.c. Po Box 9284 Peoria IL 61612-9284 Ph: (309) 686-4422 | Good Health Medical Center S.c. 4422 N Brandywine Dr Peoria IL 61614-5509 Ph: (309) 686-4422 |
| NPI Number | 1205947892 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205947892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036088753 (Illinois) | Primary |
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