Organization
INNOVATIVE MEDICAL THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS WILLIAM FISHER II DO (PRESIDENT)
(309) 347-2700
Entity
Organization
Contact information
Practice address
2355 BROADWAY ST, SUITE B, PEKIN, IL 61554-3902
(309) 347-2700
Mailing address
2355 BROADWAY ST, SUITE B, PEKIN, IL 61554-3902
(309) 347-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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