NPI 1134475940

Proctor Community Hospital

Organisation Psychiatric Hospital Unit Peoria, IL

Practice location

Address: 5409 N Knoxville Ave, Peoria, IL 61614-5069
Phone: (309) 691-1000
Fax: (309) 671-8265

Authorised official

Name: Deborah R. Simon
Title: Presidentceo
Phone: (309) 672-5928

Registered specialties (2)

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 0001925 (IL)

Other Psychiatric Unit providers in Illinois →

Psychiatric Hospital Unit

Hospital Units Taxonomy 273R00000X Licence 2087309 (IL)

Registry record

NPI: 1134475940
Entity type: Organization
NPI issued: 30 Jul 2012
Record last updated: 23 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.