Individual
DR. NICK A VLACHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 SMOKEY CT, BLOOMINGTON, IL 61704-2706
(309) 661-1000
(309) 661-1001
Mailing address
PEKIN HOSPITAL, 600 S. 13TH STREET, SUITE K, PEKIN, IL 61554-1109
(309) 661-1000
(309) 661-1001
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
IL
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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