Organization
PROCTOR COMMUNITY HOSPITAL
Active
Other names
Proctor Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A. QUIN (CFO)
(309) 671-4893
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE STE 104, PEORIA, IL 61614-5021
(309) 643-6205
(309) 999-5722
Mailing address
5401 N KNOXVILLE AVE STE 104, PEORIA, IL 61614-5021
(309) 643-6205
(309) 999-5722
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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