Illinois Specialty Physician Services At Osf, Llc

NPI 1134352842 - Internal Medicine - 207RP1001X

NPI Details
NPI 1134352842
Enumeration Date 08/27/2009
Last Updated 08/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAMES M JAMES
Position CEO
Phone (309) 672-5682
Fax
Practice Location
1001 MAIN ST
STE 200
PEORIA IL, 61606-1907, US
Phone (309) 672-5682
Fax
Business Location
800 NE GLEN OAK AVE
PEORIA IL, 61603-3255, US
Phone (309) 655-2880
Fax
Toxanomy
Taxonomy Code 207RP1001X
License State
License Number
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According to our database, Illinois Specialty Physician Services At Osf, Llc NPI is 1134352842, taxonomy code is 207RP1001X Illinois Specialty Physician Services At Osf, Llc physically located at 1001 Main St, Peoria IL, 61606-1907. NPI Number 1033115704 has the healthcare provider type.

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1134352842 NPI number is provided on an as is basis without warranty of any kind. 1134352842 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Specialty Physician Services At Osf, Llc are for informational purposes only.