PHILLIP A. IMMESOETE MD, LTD

Nursing Facility/Intermediate Care Facility

Active Organization
NPI: 1245544543

Practice Address

5401 N KNOXVILLE AVE
SUITE 406
Peoria, IL 61614

Phone: (309) 691-0030

Specialties

Specialty Code Primary License
Nursing Facility/Intermediate Care Facility 313M00000X Yes 036042568 (IL)

Frequently Asked Questions

NPI 1245544543 is the National Provider Identifier for PHILLIP A. IMMESOETE MD, LTD, a Nursing Facility/Intermediate Care Facility provider located in Peoria, IL. This NPI was enumerated on July 29, 2010.

Quick Facts

NPI
1245544543
Type
Organization
Enumerated
Jul 29, 2010
Last Updated
Jul 29, 2010

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