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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEORIA INTEGRATIVE MEDICAL CENTER LTD

Active Organization

PEORIA INTEGRATIVE MEDICAL CENTER LTD is a Family Medicine organization located in PEORIA, Illinois. NPI 1699839985 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PEORIA, IL

Registration Details

NPI Number
1699839985
Provider Type
Organization
NPI Issued
Dec 20, 2006 (19.463229555986 yrs)
Last Updated
Apr 20, 2009
License
036114042 (IL)

Practice Information

Address
4930 N EXECUTIVE DR
SUITE B
PEORIA, IL, 616144894
Browse IL providers · Browse ZIP 61614
Phone
3096836002
Fax
3096836007
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.