Proctor Medical Group Of Neurology

LBN: Proctor Health Systems
Proctor Medical Group Of Neurology is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 209, Peoria IL 61614-5098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Proctor Health Systems can be contacted via phone (309) 691-1092, or through Chiaravalle, Carrie via phone (309) 689-6049.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 209 Peoria IL 61614-5098
Fax: (309) 689-6092
Website:
Authorized official contact:
Name: Chiaravalle, Carrie

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1548460108
LBN Legal business name Proctor Health Systems
DBA Doing business as Proctor Medical Group Of Neurology
Authorized official Chiaravalle, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Jul 23rd, 2007 - about 18 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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