PROCTOR HEALTH SYSTEMS NPI 1306890108

NPI Information

PROCTOR HEALTH SYSTEMS is a primary care clinic center in Peoria, IL. PROCTOR HEALTH SYSTEMS NPI is 1306890108. The provider is registered as an organization entity type.
The provider Is Doing Business As Dennis Crnkovich Md, Robert Meister Md.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 300
PEORIA, IL
ZIP 61614-098
Phone: (309) 683-1200
Fax: (309) 691-1705

The provider's authorized official is Carrie Chiaravalle .
The authorized official title is Director and has the following contact phone number (309) 689-6049.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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