Pekin Prohealth Inc

LBN: Pekin Prohealth Inc
Pekin Prohealth Inc is an health care organization with primary practice located at 600 S 13Th St Suite M, Pekin IL 61554-4936. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Urology, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pekin Prohealth Inc can be contacted via phone (309) 353-0825, or through Vandyke, Janet via phone (309) 353-0799.

Contact Information

Primary practice address
600 S 13Th St Suite M Pekin IL 61554-4936
Phone: (309) 353-0825
Fax: (309) 347-1246
Website:
Map and Directions
Authorized official contact:
Name: Vandyke, Janet
Phone: (309) 353-0799

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Urology 208800000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1932150299
LBN Legal business name Pekin Prohealth Inc
DBA Doing business as
Authorized official Vandyke, Janet
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Mar 18th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932150299 NPPES
Illinois Other 09015685 BLUE CROSS BLUE SHIELD
Illinois Other CE8213 BLUE CROSS BLUE SHIELD
Illinois Other CN0361 BLUE CROSS BLUE SHIELD

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