| Mayclare Iii Pc | |
|
600 S 13th St Suite E Pekin IL 61554-4936 | |
| (309) 353-0473 | |
| (309) 347-3148 |
| Full Name | Mayclare Iii Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 S 13th St, Pekin, Illinois |
| Authorized Official Name and Position | Michael P Honan (PRESIDENT/OWNER) |
| Authorized Official Contact | 3093530825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayclare Iii Pc 600 S 13th St Suite E Pekin IL 61554-4936 Ph: (309) 353-0473 | Mayclare Iii Pc 600 S 13th St Suite E Pekin IL 61554-4936 Ph: (309) 353-0473 |
| NPI Number | 1164770616 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164770616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0360868003 (Illinois) | Primary |
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