Phillip A. Immesoete MD, Ltd
Phillip A. Immesoete MD, Ltd is a Nursing Facility/Intermediate Care Facility in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5401 N Knoxville Ave Ste 406Peoria, IL 61614-5098
Phone: (309) 691-0030
Fax: (309) 691-9262
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 036042568 (IL) |
|---|
Record details
| NPI number | 1245544543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phillip Immesoete — Physician · (309) 691-0030 |
| NPI enumerated | July 29, 2010 |
| Last updated in NPPES | July 29, 2010 |
| Mailing address | 5401 N Knoxville Ave, Suite 406, Peoria, IL 61614-5098 |
Other providers in Peoria
-
Sharon Health Care Pines Inc
3614 N Rochelle, Peoria, IL 61604-1039 · (309) 688-0350
-
Sharon Health Care Willows Inc
3520 N Rochelle Ln, Peoria, IL 61604-1037 · (309) 688-0451