Pekin Prohealth Inc
Family Medicine
600 S 13th St, Suite M, Pekin
Illinois, 61554-4936
309-353-0825 309-347-1246
Pekin Prohealth Inc is a Family Medicine in Pekin, Illinois. It is located at 600 S 13th St, Suite M, Pekin and it's customer support contact number is 309-353-0825. The authorized person of Pekin Prohealth Inc is Janet Vandyke who is Billing Supervisor of the pharmacy and his contact number is 309-353-0799. Pekin Prohealth Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pekin Prohealth Inc is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Pharmacy Details:
Pekin Prohealth Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pekin Prohealth Inc |
| Type: | Family Medicine |
| Location: | 600 S 13th St, Suite M, Pekin,
Illinois, 61554-4936 |
| Phone: | 309-353-0825 |
| Fax: | 309-347-1246 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Janet Vandyke |
| Position: | Billing Supervisor |
| Contact Number: | 309-353-0799 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1932150299 |
| NPI Enumeration Date: | 12 May, 2006 |
| NPI Last Update On: | 18 Mar, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pekin Prohealth Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | | | Primary | |
| Plastic Surgery | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Pediatrics | | | Secondary | |
| Neurology | | | Secondary | |
| Psychiatry | | | Secondary | |
| Orthopaedic Surgery | | | Secondary | |
| Urology | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09015685 | Other | Illinois | Blue Cross Blue Shield |
| CE8213 | Other | Illinois | Rail Road Medicare |
| CN0361 | Other | Illinois | Rail Road Medicare |
Medicare Enrollment:
Pekin Prohealth Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951214576 | O20031110000647 | Pekin Prohealth Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1951214576 | O20031120000522 | Pekin Prohealth Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Products Available:
Pekin Prohealth Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 600 S 13th St, Suite M
Pekin, Illinois |
| Zip: | 61554-4936 |
| Phone Number: | 309-353-0825 |
| Fax Number: | 309-347-1246 |
Patients can reach Pekin Prohealth Inc at
600 S 13th St, Suite M, Pekin, Illinois or can
call on customer care at 309-353-0825.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.