Proctor Community Hospital
Proctor Community Hospital is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
5401 N Knoxville Ave Ste 300Peoria, IL 61614-5021
Phone: (309) 643-6104
Fax: (309) 683-6106
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X (IL) |
|---|
Record details
| NPI number | 1518490036 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Quin — Cfo · (309) 671-4893 |
| Other names | Proctor Hospital |
| NPI enumerated | April 11, 2017 |
| Last updated in NPPES | February 24, 2020 |
| Certification date | February 24, 2020 |
| Mailing address | 5401 N Knoxville Ave Ste 300, Peoria, IL 61614-5021 |
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Proctor Community Hospital
5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 · (309) 643-6205
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