Peoria Hand Surgery, Llc

NPI 1255721502 - Orthopaedic Surgery - 207XS0106X

NPI Details
NPI 1255721502
Enumeration Date 01/26/2015
Last Updated 04/29/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GREGORY J GREGORY
Position PRESIDENT
Phone (309) 693-3970
Fax (309) 693-3971
Practice Location
5401 N KNOXVILLE AVE
SUITE 107
PEORIA IL, 61614-5098, US
Phone (309) 693-3970
Fax (309) 693-3971
Business Location
5401 N KNOXVILLE AVE
SUITE 107
PEORIA IL, 61614-5098, US
Phone (309) 693-3970
Fax (309) 693-3971
Toxanomy
Taxonomy Code 207XS0106X
License State Illinois
License Number 036089935
Remove 1255721502 NPI Number
 

According to our database, Peoria Hand Surgery, Llc NPI is 1255721502, taxonomy code is 207XS0106X and license number is 036089935, license state is located at Illinois. Peoria Hand Surgery, Llc physically located at 5401 N Knoxville Ave, Peoria IL, 61614-5098. NPI Number 1033115704 has the healthcare provider type.

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1255721502 NPI number is provided on an as is basis without warranty of any kind. 1255721502 is maintained by the National Plan & Provider Enumeration System. The contents of Peoria Hand Surgery, Llc are for informational purposes only.