Lake Of The Woods Medical Center | |
12315 N Knoxville Ave Dunlap IL 61525-9501 | |
(309) 243-5575 | |
(309) 243-5764 |
Full Name | Lake Of The Woods Medical Center |
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Speciality | Clinic/center - Primary Care |
Location | 12315 N Knoxville Ave, Dunlap, Illinois |
Authorized Official Name and Position | Carrie Chiaravalle (DIRECTOR) |
Authorized Official Contact | 3096896049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Of The Woods Medical Center 5401 N Knoxville Ave Suite 209 Peoria IL 61614-5098 Ph: (309) 689-6049 | Lake Of The Woods Medical Center 12315 N Knoxville Ave Dunlap IL 61525-9501 Ph: (309) 243-5575 |
NPI Number | 1629022447 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
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1629022447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |