Rejuv Peoria Pc

LBN: Rejuv Peoria Pc
Rejuv Peoria Pc is an health care organization with primary practice located at 501 N Morton Ave , Morton IL 61550-1526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Rejuv Peoria Pc can be contacted via phone (309) 263-4673, or through Snider, Shawn Christopher via phone (309) 678-4243.

Contact Information

Primary practice address
501 N Morton Ave Morton IL 61550-1526
Phone: (309) 263-4673
Fax: (309) 263-4611
Website:
Map and Directions
Authorized official contact:
Name: Snider, Shawn Christopher Certified Nurse Practitioner (CNP)
Phone: (309) 678-4243

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X IL036086752 Illinois

Profile Details

NPI number 1801156377
LBN Legal business name Rejuv Peoria Pc
DBA Doing business as
Authorized official Snider, Shawn Christopher Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 12 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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