Organization
CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC
Active
Other names
Central Illinois Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE EMANUEL (SECRETARY/TREASURER)
(309) 672-4846
Entity
Organization
Contact information
Practice address
1001 MAIN ST, STE 530, PEORIA, IL 61606-1907
(309) 495-1144
Mailing address
1001 MAIN ST, STE 530, PEORIA, IL 61606-1907
(309) 495-1144
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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