Proctor Medical Group Surgery - C K Song Md

LBN: Proctor Health Systems
Proctor Medical Group Surgery - C K Song Md is an health care organization with primary practice located at 5401 N Knoxville Ave Ste 217, Peoria IL 61614-5098. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Proctor Health Systems can be contacted via phone (309) 691-1092, or through Brinker, Denise via phone (390) 689-6089.

Contact Information

Primary practice address
5401 N Knoxville Ave Ste 217 Peoria IL 61614-5098
Phone: (309) 691-1092
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brinker, Denise
Phone: (390) 689-6089

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1720223837
LBN Legal business name Proctor Health Systems
DBA Doing business as Proctor Medical Group Surgery - C K Song Md
Authorized official Brinker, Denise
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 4th, 2008
Last updated Dec 4th, 2008 - about 18 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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