institution
Eagle Family Medicine Sc
Primary Care Clinic/Center in Peoria, Illinois
NPI 1659409290

Eagle Family Medicine Sc is a Primary Care Clinic/Center based in Peoria, IL and is specialized in Primary Care. Eagle Family Medicine Sc practices in Peoria, IL. The NPI Number for Eagle Family Medicine Sc is 1659409290 and holds a License No. (Illinois).

The current practice location address for Eagle Family Medicine Sc is 2809 W Willow Knolls Suite C, Peoria, IL and can be reached out via phone at 309-692-6604 and via fax at 309-692-6492. You can also correspond with Eagle Family Medicine Sc through the mailing address at 2809 W WILLOW KNOLLS SUITE C, PEORIA, IL - 61614-8259 (mailing address contact number: 309-692-6604).

Location: 2809 W Willow Knolls Suite C, Peoria, IL, 61614-8259
institution
Provider Profile Details
NPI Number
1659409290
Provider Name
Eagle Family Medicine Sc
Credential
Provider Entity Type
Organization
Address
2809 W Willow Knolls Suite C, Peoria, IL, 61614-8259
Phone Number
309-692-6604
Fax Number
309-692-6492
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208745 01 IL MEDICARE GROUP NUMBER
K37812 01 IL MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2809 W Willow Knolls Suite C
City
State
Zip
61614-8259
Phone Number
309-692-6604
Fax Number
309-692-6492
person
Provider Business Mailing Address Details
Address
2809 W Willow Knolls Suite C
City
State
Zip
61614-8259
Phone Number
309-692-6604
Fax Number
309-692-6492
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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