PEORIA WEIGHTLOSS LLC NPI 1912342569

NPI Information

PEORIA WEIGHTLOSS, LLC is a medical specialty clinic center in Peoria, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PEORIA WEIGHTLOSS, LLC NPI is 1912342569. The provider is registered as an organization entity type.

The provider's business location address is:

2426 W CORNERSTONE CT STE 100
PEORIA, IL
ZIP 61614-400
Phone: (309) 966-3137

The provider's authorized official is Kurtis Freidag .
The authorized official title is Owner and has the following contact phone number (309) 966-3137.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 5/8/2013.

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:

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