Samaritan Family Medical Services, P.c. | |
5401 N Knoxville Ave Suite 215 Peoria IL 61614-5098 | |
(309) 689-0044 | |
(309) 689-0055 |
Full Name | Samaritan Family Medical Services, P.c. |
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Speciality | Family Medicine |
Location | 5401 N Knoxville Ave, Peoria, Illinois |
Authorized Official Name and Position | George Carlton Gilbert (PRESIDENT) |
Authorized Official Contact | 3096890044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Samaritan Family Medical Services, P.c. 5401 N Knoxville Ave Suite 215 Peoria IL 61614-5098 Ph: (309) 689-0044 | Samaritan Family Medical Services, P.c. 5401 N Knoxville Ave Suite 215 Peoria IL 61614-5098 Ph: (309) 689-0044 |
NPI Number | 1295827749 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 03/06/2008 |
Identifier | Type | State | Issuer |
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1295827749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
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