Organization
INSTITUTE OF PHYSICAL MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC W ZEHR (PRESIDENT)
(309) 692-8120
Entity
Organization
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
(309) 692-8673
Mailing address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
(309) 692-8673
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07223459
BC/BS OF ILLINOIS
IL
01
—
166291
HEALTHLINK
IL
01
—
CK0900
MEDICARE RR
IL
Enumeration date
06/12/2006
Last updated
03/11/2013
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