Phi X-Ray

LBN: Pekin Prohealth Inc
Phi X-Ray is an health care organization with primary practice located at 19 Olt Ave , Pekin IL 61554-6216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Pekin Prohealth Inc can be contacted via phone (309) 353-0902, or through Adams, Sharon via phone (309) 353-0787.

Contact Information

Primary practice address
19 Olt Ave Pekin IL 61554-6216
Phone: (309) 353-0902
Fax: (309) 347-2623
Website:
Map and Directions
Authorized official contact:
Name: Adams, Sharon
Phone: (309) 353-0787

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 009180787 Illinois

Profile Details

NPI number 1740433531
LBN Legal business name Pekin Prohealth Inc
DBA Doing business as Phi X-Ray
Authorized official Adams, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2008
Last updated Dec 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740433531 NPPES
Illinois MEDICAID 009180787
Illinois Other 09015685

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