| Home Visiting Physician Group Inc | |
|
1021 Court Street Suite B Pekin IL 61554 | |
| (309) 267-2034 | |
| (309) 402-0180 |
| Full Name | Home Visiting Physician Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1021 Court Street, Pekin, Illinois |
| Authorized Official Name and Position | Jamaluddin F Amanullah (PARTNER) |
| Authorized Official Contact | 3092672034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Visiting Physician Group Inc 1021 Court Street Suite B Pekin IL 61554 Ph: (309) 267-2034 | Home Visiting Physician Group Inc 1021 Court Street Suite B Pekin IL 61554 Ph: (309) 267-2034 |
| NPI Number | 1184031155 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 07/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184031155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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