# PROCTOR HEALTH SYSTEMS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROCTOR HEALTH SYSTEMS
- **Other names:** ILLINOIS VALLEY CENTER FOR PLASTIC SURGERY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033163761
- **Legal business name:** PROCTOR HEALTH SYSTEMS
- **Authorized official:** CARRIE CHIARAVALLE (DIRECTOR)
- **Authorized official phone:** (309) 689-6049

## Contact information

- **Practice address:** 5401 N KNOXVILLE AVE, SUITE 103, PEORIA, IL 61614-5098
- **Practice address phone:** (309) 691-7800
- **Practice address fax:** (309) 691-7899
- **Mailing address:** 5401 N KNOXVILLE AVE, SUITE 209, PEORIA, IL 61614-5098
- **Mailing address phone:** (309) 689-6049
- **Mailing address fax:** (309) 689-6092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/07/2007