Two Harbors Integrative Healthcare, Llc | |
2220 Marquette Rd Peru IL 61354-1555 | |
(815) 343-0771 | |
(888) 303-1960 |
Full Name | Two Harbors Integrative Healthcare, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 2220 Marquette Rd, Peru, Illinois |
Authorized Official Name and Position | Catherine A Christensen (OWNER) |
Authorized Official Contact | 8153430771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Two Harbors Integrative Healthcare, Llc Po Box 14 Sheffield IL 61361-0014 Ph: (815) 343-0771 | Two Harbors Integrative Healthcare, Llc 2220 Marquette Rd Peru IL 61354-1555 Ph: (815) 343-0771 |
NPI Number | 1902293657 |
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Provider Enumeration Date | 04/21/2015 |
Last Update Date | 07/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902293657 | NPI | - | NPPES |
470965971001 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 209.001386 (Illinois) | Primary |
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