Organization
PROCTOR COMMUNITY HOSPITAL
Active
Other names
Proctor Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH R. SIMON (PRESIDENT/CEO)
(309) 672-5928
Entity
Organization
Contact information
Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
(309) 691-1000
(309) 671-8265
Mailing address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
(309) 672-4813
(309) 671-8265
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0001925
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
1927324
IL
Other
Enumeration date
05/13/2010
Last updated
02/13/2023
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