Organization
TWO HARBORS INTEGRATIVE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A CHRISTENSEN (OWNER)
(815) 343-0771
Entity
Organization
Contact information
Practice address
2220 MARQUETTE RD, PERU, IL 61354-1555
(815) 343-0771
(888) 303-1960
Mailing address
PO BOX 14, SHEFFIELD, IL 61361-0014
(815) 343-0771
(888) 303-1960
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
209.001386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470965971001
—
IL
Enumeration date
04/21/2015
Last updated
07/10/2015
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