Proctor First Care | |
3915 Barring Trce Peoria IL 61615-2500 | |
(309) 689-3030 | |
(309) 689-6280 |
Full Name | Proctor First Care |
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Speciality | Clinic/center |
Location | 3915 Barring Trce, 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 |
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Proctor First Care 1120 E War Memorial Dr Peoria Heights IL 61616-7757 Ph: (309) 685-0100 | Proctor First Care 3915 Barring Trce Peoria IL 61615-2500 Ph: (309) 689-3030 |
NPI Number | 1750493805 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 02/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750493805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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