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PEKIN PROHEALTH INC NPI 1740433531


NPI Information

NPI: 1740433531
Provider Name: PEKIN PROHEALTH INC

Doing Business As: PHI X-RAY

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
19 OLT AVE
PEKIN, IL
ZIP 61554
Phone: (309) 353-0902
Get Directions

PEKIN PROHEALTH INC is a radiology clinic center in Pekin, IL. PEKIN PROHEALTH INC NPI is 1740433531. The provider is registered as an organization entity type.
The provider Is Doing Business As Phi X-ray.

The provider's business location address is:

19 OLT AVE
PEKIN, IL
ZIP 61554-216
Phone: (309) 353-0902
Fax: (309) 347-2623

The provider's authorized official is Sharon Adams .
The authorized official title is Vice President and has the following contact phone number (309) 353-0787.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 12/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiology009180787ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009180787MEDICAIDILLINOIS
209015685OTHERILLINOISBCBS
3569310MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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