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Neurology Clinic Of Peoria Sc
Medical Specialty Clinic/Center in Peoria, Illinois
NPI 1376680363

Neurology Clinic Of Peoria Sc is a Medical Specialty Clinic/Center based in Peoria, IL and is specialized in Medical Specialty. Neurology Clinic Of Peoria Sc practices in Peoria, IL. The NPI Number for Neurology Clinic Of Peoria Sc is 1376680363 and holds a License No. 042617586 (Illinois).

The current practice location address for Neurology Clinic Of Peoria Sc is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-9516 and via fax at 309-692-9530.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376680363
Provider Name
Neurology Clinic Of Peoria Sc
Credential
Provider Entity Type
Organization
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-9516
Fax Number
309-692-9530
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036088131 05 IL
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-9516
Fax Number
309-692-9530
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-9516
Fax Number
309-692-9530
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
042617586 (Illinois)
Definition
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).
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5401 N Knoxville Ave,
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61614-5098
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