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Organization

HEART OF ILLINOIS HEARING LLC

Active
Other names
Heart of Illinois Hearing
Organization subpart
No

Provider details

NPI number
Authorized official
DERRICK HEFLIN (HCP/VP)
(309) 681-8500
Entity
Organization

Contact information

Practice address
5401 N KNOXVILLE AVE STE 116, PEORIA, IL 61614-5011
(309) 681-8500
Mailing address
137 FAWN HAVEN DR, EAST PEORIA, IL 61611-1879

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary

Other

Enumeration date
11/02/2018
Last updated
06/05/2019
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