PRAIRIE SURGICARE, LLC is an ambulatory surgical clinic center in Peoria, IL. PRAIRIE SURGICARE, LLC NPI is 1336408038. The provider is registered as an organization entity type.
The provider's business location address is:
7620 N UNIVERSITY ST
SUITE 101
PEORIA, IL
ZIP 61614-300
Phone: (309) 691-7774
Fax: (309) 689-5768
The provider's authorized official is Richard Kube .
The authorized official title is Owner/medical Director and has the following contact phone number (309) 691-7774.
The CLIA number assigned to this NPI record is 14D2035815 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/15/2012 and was last updated on 5/15/2012.