Organization
EPIC
Active
Other names
Epic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA CONGDON (CONTROLLER)
(309) 689-3638
Entity
Organization
Contact information
Practice address
1913 W TOWNLINE RD, PEORIA, IL 61615-1621
(309) 691-3800
Mailing address
1913 W TOWNLINE RD, PEORIA, IL 61615-1621
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/31/2021
Last updated
04/16/2026
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