Mid Illini Surgical Associates SC
Mid Illini Surgical Associates SC is a Surgery Physician 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 530Peoria, IL 61602-1074
Phone: (309) 672-5975
Fax: (309) 655-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X (IL) |
|---|
Record details
| NPI number | 1093854002 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Greg Totten — Office Manager · (309) 672-5975 |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 900 Main Street, Suite 530, Peoria, IL 61602-1074 |
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