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Organization

TYRIAN HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TOUFIC S KHAIRALLAH APRN, FNP-BC (PRESIDENT & CEO/ NURSE PRACTITIONER)
(309) 306-1039
Entity
Organization

Contact information

Practice address
2120 W HEADING AVE, WEST PEORIA, IL 61604-5138
(309) 306-1039
Mailing address
PO BOX 9183, PEORIA, IL 61612-9183
(309) 306-1039

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/29/2020
Last updated
08/30/2021
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