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ILLINOIS VALLEY ACCULABS LLC NPI 1720734361


NPI Information

NPI: 1720734361
Provider Name: ILLINOIS VALLEY ACCULABS LLC

Doing Business As: ILLINOIS VALLEY ACCULABS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2011 ROCK ST STE D2
PERU, IL
ZIP 61354
Phone: (815) 780-8134
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ILLINOIS VALLEY ACCULABS LLC is a clinic center in Peru, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ILLINOIS VALLEY ACCULABS LLC NPI is 1720734361. The provider is registered as an organization entity type.
The provider Is Doing Business As Illinois Valley Acculabs.

The provider's business location address is:

2011 ROCK ST STE D2
PERU, IL
ZIP 61354-392
Phone: (815) 780-8134

The provider's authorized official is Madison Ehlers .
The authorized official title is Manager and has the following contact phone number (815) 780-8134.

The enumeration date for this NPI number is 2/22/2022 and was last updated on 5/23/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 5/5/2024

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