Petersen Health Care - Illini, Llc

  • 1619083730 NPI Number
  • |
  • Actived: 17 years ago
  • |
Petersen Health Care - Illini, Llc is a health care provider based in Champaign, IL. The NPI Number is 1619083730 and it has been active since 17 years ago. The specialty is Skilled Nursing Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Skilled Nursing Facility services, Petersen Health Care - Illini, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Petersen Health Care - Illini, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 08/22/2006
  • Last updated: 03/28/2017

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 0042440
  • License State: IL

Provider Mailing Address

  • Address: 830 W. Trailcreek Drive
    Peoria, IL 61614
  • Phone: 309-691-8113
  • Fax: 309-691-8622

Provider Practice Location

  • Address: 1315 Curt Drive
    Champaign, IL 61820
  • Phone: 217-352-5707
  • Fax: 217-352-2607

Authorized Official

  • Name: Mark B. Petersen
  • Position/Title: President
  • Telephone Number: 309-691-8113

Scope of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 0042440
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 300318970007
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Petersen Health Care - Illini, Llc?
  • A: The npi number for Petersen Health Care - Illini, Llc is 1619083730.
  • Q: What are Petersen Health Care - Illini, Llc's specialties?
  • A: Petersen Health Care - Illini, Llc's specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is Petersen Health Care - Illini, Llc business practice location?
  • A: Petersen Health Care - Illini, Llc business practice location is 1315 Curt Drive, Champaign, IL 61820.
  • Q: How to contact Petersen Health Care - Illini, Llc?
  • A: You can contact Petersen Health Care - Illini, Llc via 217-352-5707.
  • Q: What is the authorized official for Petersen Health Care - Illini, Llc?
  • A: The authorized office name is Mark B. Petersen with position/title is President and you can reach the authorized official via phone number 3096918113.
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