| Innovative Medical Therapies Llc | |
|
2355 Broadway St Suite B Pekin IL 61554-3902 | |
| (309) 347-2700 | |
| Not Available |
| Full Name | Innovative Medical Therapies Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2355 Broadway St, Pekin, Illinois |
| Authorized Official Name and Position | Curtis William Fisher (PRESIDENT) |
| Authorized Official Contact | 3093472700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Therapies Llc 2355 Broadway St Suite B Pekin IL 61554-3902 Ph: (309) 347-2700 | Innovative Medical Therapies Llc 2355 Broadway St Suite B Pekin IL 61554-3902 Ph: (309) 347-2700 |
| NPI Number | 1295110948 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 07/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295110948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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