PROCTOR HEALTH SYSTEMS (NPI# 1437103231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437103231 |
Entity Type | Organization |
Organization Name | PROCTOR HEALTH SYSTEMS |
Other Organization Name | ASSOCIATED FAMILY PHYSICIANS |
Practice Address |
1506 W Garfield Ave Bartonville IL 61607-1755 |
Practice Telephone | 3096982416 |
Practice Fax Number | 3096972749 |
Mailing Telephone | 3096972416 |
Mailing Fax Number | 3096972749 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2010-03-01 |
Authorized Official Name | MICHELE WALDBEESSER (OFFICE MANAGER) |
Authorized Official Telephone | 3096972416 |
Is Organization Subpart | Y |
Parent Organization Name | PROCTOR HEALTH SYSTEMS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ASSOCIATED FAMILY PHYSICIANS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396923702 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave Ste 306, Peoria, IL 61614-5021 | 2008-02-07 |
1629022447 | Proctor Health Systems | Clinic/Center | 12315 N Knoxville Ave, Dunlap, IL 61525-9501 | 2006-05-19 |
1720223837 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Ste 217, Peoria, IL 61614-5098 | 2008-12-04 |
1548460108 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Suite 209, Peoria, IL 61614-5098 | 2007-07-23 |
1033163761 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 | 2006-05-19 |
1518910363 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Suite 218, Peoria, IL 61614-5098 | 2006-05-19 |
1306890108 | Proctor Health Systems | Clinic/Center | 5401 N Knoxville Ave, Suite 300, Peoria, IL 61614-5098 | 2006-05-19 |
1134173917 | Proctor Health Systems | Nurse Anesthetist, Certified Registered | 5401 N Knoxville Ave, Suite 209, Peoria, IL 61614-5098 | 2006-05-19 |
1740234533 | Proctor Health Systems | Clinic/Center | 210 N 4th St, Chillicothe, IL 61523-2058 | 2006-05-19 |
1578515953 | Proctor Health Systems | Clinic/Center | 202 S Main St, Lacon, IL 61540-1416 | 2006-05-16 |
Street Address |
1506 W GARFIELD AVE |
City | BARTONVILLE |
State | IL |
Zip Code | 61607-1755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003818675 | Patricia J Estep | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2005-08-12 |
1750822474 | Elizabeth Pautler | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2017-03-14 |
1316486061 | Terri Hicok | Nurse Practitioner | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2017-02-14 |
1104848332 | Michael John Sanders | Pediatrics | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-07-24 |
1750356226 | Vijaya Lakshmi Jujjavarapu | Internal Medicine | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-02-20 |
1194790675 | Richard J Popp | Family Medicine | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-02-20 |
1457326944 | William C Hicok | Family Medicine | 1506 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053965517 | Sara Rearden | Speech-Language Pathologist | 4812 W. Pfeiffer Road, Bartonville, IL 61607 | 2019-08-01 |
1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
1073715595 | Monroe School District 70 | Local Education Agency (LEA) | 5157 W Cisna Rd, Bartonville, IL 61607-1434 | 2007-06-05 |
1962575589 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1405 W Garfield Ave, Bartonville, IL 61607-1752 | 2006-11-15 |
1639716244 | Thomas Edward Patterson | Pharmacist | 1405 W Garfield Ave, Bartonville, IL 61607-1752 | 2019-12-02 |
1144665787 | Michelle Nicole Maloney | Student in an Organized Health Care Education/Training Program | 1518 W Garfield Ave, Bartonville, IL 61607-1755 | 2013-05-09 |
1053431551 | Beverly K Beekman | Pharmacy Technician | 1502 W Garfield Ave, Bartonville, IL 61607-1755 | 2007-03-29 |
1740362466 | Landall Cormier | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2006-10-20 |
1821413451 | Shruti Pore | Dentist | 1522 W Garfield Ave, Bartonville, IL 61607-1755 | 2014-02-18 |
Find all providers in zip 61607 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
Find all providers with the same taxonomy |
City | BARTONVILLE |
Zip Code | 61607 |
Please comment or provide details below to improve the information on PROCTOR HEALTH SYSTEMS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.