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PROCTOR HEALTH SYSTEMS NPI 1518910363


NPI Information

NPI: 1518910363
Provider Name: PROCTOR HEALTH SYSTEMS

Doing Business As: HEART OF ILLINOIS REHABILITATION

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
5401 N KNOXVILLE AVE
SUITE 218
PEORIA, IL
ZIP 61614
Phone: (309) 693-2244
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PROCTOR HEALTH SYSTEMS is a rehabilitation clinic center in Peoria, IL. PROCTOR HEALTH SYSTEMS NPI is 1518910363. The provider is registered as an organization entity type.
The provider Is Doing Business As Heart Of Illinois Rehabilitation.

The provider's business location address is:

5401 N KNOXVILLE AVE
SUITE 218
PEORIA, IL
ZIP 61614-098
Phone: (309) 693-2244
Fax: (309) 693-7606

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1242904MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.