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1699839985
PEORIA INTEGRATIVE MEDICAL CENTER LTD
PEORIA, IL
NPI
1699839985
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Entity Type
Organization
Authorized Contact
YANG XIE
Owner
309-636-7302
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036114042)
Enumeration Date
2006-12-20
Last Update Date
2009-04-20
Business Address
PEORIA INTEGRATIVE MEDICAL CENTER LTD
4930 N EXECUTIVE DR SUITE B
PEORIA, IL 61614-4894
Phone number: 309-683-6002
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Mailing Address
PEORIA INTEGRATIVE MEDICAL CENTER LTD
4930 N EXECUTIVE DR SUITE B
PEORIA, IL 61614-4894
Phone number: 309-683-6002
Copy
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