Organization
BELCREST SERVICES, LTD
Active
Other names
Proctor First Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE E KURTZ (ADMIN ASSNT)
(309) 685-0100
Entity
Organization
Contact information
Practice address
9118 N LINDBERGH DR, PEORIA, IL 61615-1422
(309) 693-3993
(309) 693-8027
Mailing address
1120 E WAR MEMORIAL DR, PEORIA HEIGHTS, IL 61616-7757
(309) 685-0100
(309) 685-0172
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/01/2010
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