PROCTOR HEALTH SYSTEMS


Address: 202 S Main St, Lacon, IL 61540-1416
Phone: 3092462235

PROCTOR HEALTH SYSTEMS (NPI# 1578515953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578515953
Entity Type Organization
Organization Name PROCTOR HEALTH SYSTEMS
Other Organization Name LACON CLINIC
Practice Address 202 S Main St
Lacon
IL 61540-1416
Mailing Address 5401 N Knoxville Ave
Suite 209
Peoria
IL 61614-5098
Practice Telephone 3092462235
Practice Fax Number 3092463879
Mailing Telephone 3096896049
Mailing Fax Number 3096896092
Enumeration Date 2006-05-16
Last Update Date 2007-08-07
Authorized Official Name CARRIE CHIARAVALLE (DIRECTOR)
Authorized Official Telephone 3096896049
Is Organization Subpart Y
Parent Organization Name PROCTOR HEALTH SYSTEMS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LACON CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

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
1437103231 Proctor Health Systems Clinic/Center 1506 W Garfield Ave, Bartonville, IL 61607-1755 2006-05-19

Office Location

Street Address 202 S MAIN ST
City LACON
State IL
Zip Code 61540-1416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194292540 Fleming Chiropractic & Acupuncture LLC Clinic/Center 202 S Main St, Lacon, IL 61540-1416 2018-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114024064 Dale R Fleming Chiropractor 225 Fifth Street, Lacon, IL 61540 2006-09-20
1407174873 Methodist Medical Center of Illinois Clinic/Center 1112 5th St, Lacon, IL 61540 2010-05-11
1821274796 Beth Ann Mckee, D.c. Chiropractor 1109 Fifth St, Lacon, IL 61540-0226 2008-01-10
1497863997 Beth Ann Mckee Chiropractor 1109 5th St, Lacon, IL 61540-0226 2006-08-26
1790772309 St Joseph Nursing Home Inc Nursing Facility/Intermediate Care Facility 401 9th St, Lacon, IL 61540-1140 2005-09-29
1447889886 Lacon Rehab and Nursing LLC Skilled Nursing Facility 401 9th St, Lacon, IL 61540-1140 2020-04-07
1578580189 John J Geiser Optometrist 114 5th St, Lacon, IL 61540-1206 2006-07-17
1124533047 Kimberly Ann Yee Optometrist 114 5th St, Lacon, IL 61540-1206 2017-12-14
1508043290 John J Geiser O.d. Eyewear Supplier (Equipment, not the service) 114 5th St, Lacon, IL 61540-1206 2008-01-25
1427193895 Tracy Jo Parsh Chiropractor 331 5th St, Lacon, IL 61540-1209 2007-02-21
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City LACON
Zip Code 61540

Improve Information

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Dataset Information

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.

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