Individual
DR. UTE PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5409 N KNOXVILLE AVE, PEORIA, IL 61614-5069
(309) 691-1069
(309) 543-1060
Mailing address
12528 SR 78, HAVANA, IL 62644-6866
(309) 543-9353
(309) 543-1060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-083032
IL
Other
Enumeration date
12/28/2005
Last updated
10/07/2014
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