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Organization

GOOD HEALTH MEDICAL CENTER S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZIAD MUSAITIF D.O. (OWNER)
(309) 686-4422
Entity
Organization

Contact information

Practice address
4422 N BRANDYWINE DR, PEORIA, IL 61614-5509
(309) 686-4422
(309) 686-4421
Mailing address
PO BOX 9284, PEORIA, IL 61612-9284
(309) 686-4422
(309) 686-4421

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036088753
IL

Other

Enumeration date
08/31/2006
Last updated
04/25/2008
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