Organization
GIANNA WOMEN'S CLINIC INC NFP
Active
Other names
Destiny for Women
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MARY SMART (DIRECTOR)
(309) 740-1111
Entity
Organization
Contact information
Practice address
2805 N KNOXVILLE AVE, PEORIA, IL 61604-2869
(309) 740-1111
Mailing address
2805 N KNOXVILLE AVE, PEORIA, IL 61604-2869
(309) 740-1111
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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