| University Of Illinois Medical Service Plan At Peoria | |
|
1 Illini Dr Peoria IL 61605-2576 | |
| (309) 680-8649 | |
| (309) 671-8513 |
| Full Name | University Of Illinois Medical Service Plan At Peoria |
|---|---|
| Speciality | Pediatrics |
| Location | 1 Illini Dr, Peoria, Illinois |
| Authorized Official Name and Position | Sherry Leonard (DIRECTOR OF FISCAL AFFAIRS) |
| Authorized Official Contact | 3096808649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Illinois Medical Service Plan At Peoria 1 Illini Dr Peoria IL 61605-2576 Ph: (309) 671-8472 | University Of Illinois Medical Service Plan At Peoria 1 Illini Dr Peoria IL 61605-2576 Ph: (309) 680-8649 |
| NPI Number | 1467425322 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467425322 | NPI | - | NPPES |
| 07215036 | Other | IL | BCBS |
| CH0107 | Other | IL | RAILROAD MEDICARE |
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