Unknown Individual – Psychiatry Physician, NPI 1609854181
Psychiatry Physician
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Profile Insights
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Provider Addresses for Unknown Individual
411 DR. MARTIN KING DRIVE
BOB MICHEL CBOC
PEORIA, IL 61605
Phone: (309) 497-0790
Fax: (309) 497-3564
Type: Mailing
411, West Dr Martin Luther King Jr Drive, High Wine District, Peoria, Peoria County, Illinois, 61605, United States
PEORIA, IL 616052414
Phone: (309) 497-0790
Fax: (309) 497-3564
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61605)
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