# JOSEPH & HISHON INTEGRATED HEALTH CENTER LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851776025
- **Authorized official:** HEATH HISHON (OWNER)
- **Authorized official phone:** (309) 693-2225

## Contact information

- **Practice address:** 5001 N UNIVERSITY ST, SUITE A, PEORIA, IL 61614-4799
- **Practice address phone:** (309) 693-2225
- **Practice address fax:** (309) 693-2228
- **Mailing address:** 5001 N UNIVERSITY ST, SUITE A, PEORIA, IL 61614-4799
- **Mailing address phone:** (309) 693-2225
- **Mailing address fax:** (309) 693-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 01/25/2016