| Illinois Valley Acculabs | |
|
2011 Rock St Ste D2 Peru IL 61354-1392 | |
| (815) 780-8134 | |
| Not Available |
| Full Name | Illinois Valley Acculabs |
|---|---|
| Speciality | Clinic/Center |
| Location | 2011 Rock St Ste D2, Peru, Illinois |
| Authorized Official Name and Position | Madison Ehlers (MANAGER) |
| Authorized Official Contact | 8157808134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Valley Acculabs 2011 Rock St Ste D2 Peru IL 61354-1392 Ph: (181) 578-0813 | Illinois Valley Acculabs 2011 Rock St Ste D2 Peru IL 61354-1392 Ph: (815) 780-8134 |
| NPI Number | 1720734361 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 2567842776 |
|---|---|
| Medicare Enrollment ID | O20220706001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720734361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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