Organization
PROCTOR HEALTH SYSTEMS
Active
Parent organization
PROCTOR HEALTH SYSTEMS
Other names
PROCTOR MEDICAL GROUP, CHILLICOTHE FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCTOR HEALTH SYSTEMS
Authorized official
CARRIE CHIARAVALLE (DIRECTOR)
(309) 689-6049
Entity
Organization
Contact information
Practice address
210 N 4TH ST, CHILLICOTHE, IL 61523-2058
(309) 274-2108
(309) 274-6920
Mailing address
5401 N KNOXVILLE AVE, SUITE 209, PEORIA, IL 61614-5098
(309) 689-6049
(309) 689-6092
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
06/26/2008
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