Organization
BELCREST SERVICES, LTD
Active
Parent organization
BELCREST SERVICES, LTD
Other names
Proctor First Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELCREST SERVICES, LTD
Authorized official
MR. TODD J BAKER (GENERAL MANAGER)
(309) 685-0100
Entity
Organization
Contact information
Practice address
2535 E WASHINGTON ST, EAST PEORIA, IL 61611-1863
(309) 694-6464
(309) 694-6032
Mailing address
1120 E WAR MEMORIAL DR, PEORIA HEIGHTS, IL 61616-7757
(309) 685-0100
(309) 685-0172
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/01/2010
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