institution
Kindred Llc
Obstetrics Physician in Peoria, Illinois
NPI 1609936707

Kindred Llc is a Obstetrics Physician based in Peoria, IL and is specialized in Obstetrics. Kindred Llc practices in Peoria, IL. The NPI Number for Kindred Llc is 1609936707 and holds a License No. (Illinois).

The current practice location address for Kindred Llc is 120 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-673-0000 and via fax at 309-673-3730.

Location: 120 Ne Glen Oak Ave, Peoria, IL, 61603-4314
institution
Provider Profile Details
NPI Number
1609936707
Provider Name
Kindred Llc
Credential
Provider Entity Type
Organization
Address
120 Ne Glen Oak Ave, Peoria, IL, 61603-4314
Phone Number
309-673-0000
Fax Number
309-673-3730
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9032024 01 IL BLUE CROSS BLUE SHIELD
204931 01 IL PIN
institution
Provider Business Practice Location Address Details
Address
120 Ne Glen Oak Ave
City
State
Zip
61603-4314
Phone Number
309-673-0000
Fax Number
309-673-3730
person
Provider Business Mailing Address Details
Address
120 Ne Glen Oak Ave
City
State
Zip
61603-4314
Phone Number
309-673-0000
Fax Number
309-673-3730
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
()
Definition
Definition to come...
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