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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA

MEDICARE: CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1497072870
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
Provider Business Mailing Address
First Line : 2900 W HEADING AVE
Second Line :
City : WEST PEORIA
State : IL
Zip : 61604-4868
Country : US
Telephone Number : 309-636-8012
Fax Number : 309-636-8097
Provider Business Practice Location Address
First Line : 2100 5TH ST
Second Line :
City : LINCOLN
State : IL
Zip : 62656-9115
Country : US
Telephone Number : 217-732-5935
Fax Number : 217-735-1738
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : PEGGY A ARIZZI
Credential : MSW, LCSW
Telephone Number : 309-636-8012
Provider Enumeration Date : 04/26/2010
Last Update Date : 04/26/2010

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Directions to “CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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