Organization
HEARTLAND INFUSTION THERAPY
Active
Other names
HEARTLAND INSTITUTIONAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GESTRINE (MANAGER)
(309) 671-2745
Entity
Organization
Contact information
Practice address
415 NE SAINT MARK CT, PEORIA, IL 61603-3716
(309) 671-2745
(309) 671-2581
Mailing address
415 NE SAINT MARK CT, PEORIA, IL 61603-3716
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0093011339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470549
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/22/2006
Last updated
08/22/2020
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