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The Bleeding And Clotting Disorders Institute
Clinic/Center in Peoria, Illinois
NPI 1134424633

The Bleeding And Clotting Disorders Institute is a Clinic/Center based in Peoria, IL. The Bleeding And Clotting Disorders Institute practices in Peoria, IL. The NPI Number for The Bleeding And Clotting Disorders Institute is 1134424633 and holds a License No. 036101239 (Illinois).

The current practice location address for The Bleeding And Clotting Disorders Institute is 427 W Northmoor Rd, Peoria, IL and can be reached out via phone at 309-692-5337 and via fax at 309-693-3913.

Location: 427 W Northmoor Rd, Peoria, IL, 61614-3542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134424633
Provider Name
The Bleeding And Clotting Disorders Institute
Credential
Provider Entity Type
Organization
Address
427 W Northmoor Rd, Peoria, IL, 61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
Provider Enumeration Date
01/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398680716 05 IL
7225372 01 BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
427 W Northmoor Rd
City
Peoria
State
Illinois
Zip
61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
person
Provider Business Mailing Address Details
Address
427 W Northmoor Rd
City
Peoria
State
Illinois
Zip
61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036101239 (Illinois)
Definition
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).
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