Healthcare Provider Details

I. General information

NPI: 1396951323
Provider Name (Legal Business Name): HEALTH PLUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5409 N KNOXVILLE AVE
PEORIA IL
61614-5016
US

IV. Provider business mailing address

5409 N KNOXVILLE AVE
PEORIA IL
61614-5016
US

V. Phone/Fax

Practice location:
  • Phone: 309-689-8600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. PHILIP C WALKER
Title or Position: PRESIDENT
Credential:
Phone: 309-689-8600