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NPI Code Detail

MEDICARE: BELCREST SERVICES, LTD

MEDICARE: BELCREST SERVICES, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1245275312
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELCREST SERVICES, LTD
Provider Business Mailing Address
First Line : 221 NE GLEN OAK AVE # GOMP100
Second Line :
City : PEORIA
State : IL
Zip : 61636-0001
Country : US
Telephone Number : 309-672-4813
Fax Number : 309-671-8253
Provider Business Practice Location Address
First Line : 1120 E WAR MEMORIAL DR
Second Line :
City : PEORIA HEIGHTS
State : IL
Zip : 61616-7757
Country : US
Telephone Number : 309-685-0100
Fax Number : 309-685-0172
Authorized Official
Title or Position : MANAGER - REIMBURSEMENT RECOGNITION
Name : MR. STEPHEN M. CIRONE
Credential :
Telephone Number : 309-672-4813
Provider Enumeration Date : 06/20/2006
Last Update Date : 03/15/2018

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Directions to “BELCREST SERVICES, LTD ” Practice Location

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