| Pekin Pulmonary Clinic | |
|
1327 Executive Ct Pekin IL 61554-6096 | |
| (309) 353-5864 | |
| (309) 353-4894 |
| Full Name | Pekin Pulmonary Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1327 Executive Ct, Pekin, Illinois |
| Authorized Official Name and Position | Friedrich Josef Von Bun (OWNER) |
| Authorized Official Contact | 3093535864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pekin Pulmonary Clinic 1327 Executive Ct Pekin IL 61554-6096 Ph: (309) 353-5864 | Pekin Pulmonary Clinic 1327 Executive Ct Pekin IL 61554-6096 Ph: (309) 353-5864 |
| NPI Number | 1942505664 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942505664 | NPI | - | NPPES |
| 1760489306 | Other | NPI | |
| 0360812671 | Medicaid | IL | |
| 290008130 | Other | RAILROAD MEDICARE | |
| 944370 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 24781673 (Illinois) | Primary |
Comprehensive Healthcare, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Broadway St, Lower Level, Pekin, IL 61554 Phone: 309-349-3175 Fax: 309-620-8751 | |
Heartland Health Service - Broadway Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 Olt Ave, Pekin, IL 61554 Phone: 309-680-7600 Fax: 309-353-3334 | |
Mayclare Iii Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 13th St, Suite E, Pekin, IL 61554 Phone: 309-353-0473 Fax: 309-347-3148 | |
Home Visiting Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Court Street, Suite B, Pekin, IL 61554 Phone: 309-267-2034 Fax: 309-402-0180 | |
Innovative Medical Therapies Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 Broadway St, Suite B, Pekin, IL 61554 Phone: 309-347-2700 | |
Planned Parenthood Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 S 4th Street, Pekin, IL 61554 Phone: 309-347-1274 Fax: 309-347-6283 | |
Miller Family Medicine, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Valle Vista Blvd, Pekin, IL 61554 Phone: 309-840-2177 |