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Organization
JD NIMRICK PC
Active
Organization
JD NIMRICK PC
Active
Other names
Premier Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SHERMAN (BILLING COORDINATOR)
(309) 683-4646
Entity
Organization
Contact information
Practice address
3531 W WILLOW KNOLLS DR, PEORIA, IL 61614-1078
(309) 683-6900
(309) 683-6902
Mailing address
PO BOX 3477, PEORIA, IL 61612-3477
(309) 683-6900
(309) 683-6902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
03/20/2008
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