Peoria Tazewell Pathology Group, SC
Peoria Tazewell Pathology Group, SC provides Anatomic Pathology & Clinical Pathology Physician services in Peoria, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
221 NE Glen Oak AvePeoria, IL 61603-4310 Not confirmed with CMS for 14 years — call before visiting
Phone: (309) 672-4911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X |
|---|
Record details
| NPI number | 1578597738 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Champagne — President · (309) 647-5240 |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | August 13, 2012 |
| Mailing address | Po Box 60070, N Charleston, SC 29419-0070 |
Other providers in Peoria
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John B Nixon
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-9011
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William Null
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-9011
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Jitendra Patel
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-9011
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Purvi Jigarkumar Patel, MD
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James D Siebert
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-9011
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Devendra V Trivedi, MD
221 NE Glen Oak Ave, Peoria, IL 61636-0001 · (309) 672-4919
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Jan N Upalakalin
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-9011
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Ronald Winek
530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 624-9011