| Promise Healthcare Nfp | |
|
424 E Wabash Ave Rantoul IL 61866-3013 | |
| (217) 356-1558 | |
| Not Available |
| Full Name | Promise Healthcare Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 424 E Wabash Ave, Rantoul, Illinois |
| Authorized Official Name and Position | Jennifer Henry (CEO) |
| Authorized Official Contact | 2174035401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Healthcare Nfp 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 356-1558 | Promise Healthcare Nfp 424 E Wabash Ave Rantoul IL 61866-3013 Ph: (217) 356-1558 |
| NPI Number | 1629846928 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 06/03/2024 |
| Medicare PECOS PAC ID | 6103071345 |
|---|---|
| Medicare Enrollment ID | O20231213000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629846928 | NPI | - | NPPES |
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