Organization
PROCTOR HEALTH SYSTEMS
Active
Other names
PROCTOR MEDICAL GROUP OF NEUROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE CHIARAVALLE (DIRECTOR OPERATIONS)
(309) 689-6049
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 209, PEORIA, IL 61614-5098
(309) 691-1092
(309) 689-6092
Mailing address
5401 N KNOXVILLE AVE, SUITE 218, PEORIA, IL 61614-5098
(309) 693-2244
(309) 693-7606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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