NIDA ALAM
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1225719776- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1 ILLINI DR, PEORIA, IL, 616052576
- Phone
- (309) 671-3000
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
1 ILLINI DR
PEORIA, IL, 616052576