NPI 1174724280
South Side Office of Concern
Practice location
- Address
- 1316 SW Adams St, Peoria, IL 61602-1702
- Phone
- (309) 674-7310
- Fax
- (309) 674-9652
- Mailing address
- 301 NE Jefferson Street, Peoria, IL 61602-1212
Authorised official
- Name
- Christine E Kahl
- Title
- Executive Director
- Phone
- (309) 674-7310
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1174724280
- Entity type
- Organization
- NPI issued
- 29 May 2007
- Record last updated
- 23 Apr 2008
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.