Peoria Obstetrics & Gynecology, SC
Peoria Obstetrics & Gynecology, SC provides Obstetrics & Gynecology Physician services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
900 Main St Ste 660Peoria, IL 61602-1060 Not confirmed with CMS for 17 years — call before visiting
Phone: (309) 687-4230
Fax: (309) 272-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 036084069 (IL) |
|---|
Record details
| NPI number | 1477672020 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paula Clark — Practice Administrator · (309) 687-4242 |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | January 26, 2009 |
| Mailing address | 900 Main St Ste 660, Peoria, IL 61602-1060 |
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