institution
Pekin Prohealth Inc
Radiology Clinic/Center in Pekin, Illinois
NPI 1740433531

Pekin Prohealth Inc is a Radiology Clinic/Center based in Pekin, IL and is specialized in Radiology. Pekin Prohealth Inc practices in Pekin, IL. The NPI Number for Pekin Prohealth Inc is 1740433531 and holds a License No. 009180787 (Illinois).

The current practice location address for Pekin Prohealth Inc is 19 Olt Ave, Pekin, IL and can be reached out via phone at 309-353-0902 and via fax at 309-347-2623.

Location: 19 Olt Ave, Pekin, IL, 61554-4936
institution
Provider Profile Details
NPI Number
1740433531
Provider Name
Pekin Prohealth Inc
Credential
Provider Entity Type
Organization
Address
19 Olt Ave, Pekin, IL, 61554-4936
Phone Number
309-353-0902
Fax Number
309-347-2623
Provider Enumeration Date
10/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009180787 05 IL
09015685 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
19 Olt Ave
City
State
Zip
61554-6216
Phone Number
309-353-0902
Fax Number
309-347-2623
person
Provider Business Mailing Address Details
Address
19 Olt Ave
City
State
Zip
61554-6216
Phone Number
309-353-0902
Fax Number
309-347-2623
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
009180787 (Illinois)
Definition
Definition to come...
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