| Proctor First Care | |
|
2535 E Washington St East Peoria IL 61611-1863 | |
| (309) 694-6464 | |
| (309) 694-6032 |
| Full Name | Proctor First Care |
|---|---|
| Speciality | Clinic/center |
| Location | 2535 E Washington St, East Peoria, Illinois |
| Authorized Official Name and Position | Todd J Baker (GENERAL MANAGER) |
| Authorized Official Contact | 3096850100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proctor First Care 1120 E War Memorial Dr Peoria Heights IL 61616-7757 Ph: (309) 685-0100 | Proctor First Care 2535 E Washington St East Peoria IL 61611-1863 Ph: (309) 694-6464 |
| NPI Number | 1124130208 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124130208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Visidoc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 W Washington St Ste 310, East Peoria, IL 61611 Phone: 309-699-4715 |