Proctor Health Systems

LBN: Proctor Health Systems
Proctor Health Systems is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 209, Peoria IL 61614-5098. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Proctor Health Systems can be contacted via phone (309) 689-6049, or through Chiaravalle, Carrie via phone (309) 689-6049.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 209 Peoria IL 61614-5098
Phone: (309) 689-6049
Fax: (309) 689-6092
Website:
Map and Directions
Authorized official contact:
Name: Chiaravalle, Carrie
Phone: (309) 689-6049

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1134173917
LBN Legal business name Proctor Health Systems
DBA Doing business as
Authorized official Chiaravalle, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Nov 1st, 2007 - about 19 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 1134173917 NPPES
Illinois Other 7232122 BC BS OF ILLINOIS
Illinois Other CD8124 BC BS OF ILLINOIS
Illinois Other CD8123 BC BS OF ILLINOIS

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