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Petersen Health Network, Llc

Petersen Health Network, Llc is a health care provider in Peoria, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 505 Stevens St, Nokomis, IL 62075-1442, US
Practice Location Phone217-563-7725
Practice Location Fax217-563-8518
Legal Business NamePETERSEN HEALTH NETWORK, LLC
Other Organization NameNOKOMIS REHABILITATION & HEALTH CARE CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1952399255
Entity TypeOrganization
Enumeration Date ? Oct 11, 2005
Last Update Date ? Feb 2, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Petersen Health Network, Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 1652779Illinois

legacy-id-icon Legacy Provider IDs of Petersen Health Network, Llc

Provider IdIssuer StateIssuer TypeIssuer
=========002IllinoisMedicaid

official-icon Authorized Official of Petersen Health Network, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Petersen Health Network, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Mark B Petersen
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number309-691-8113