PEORIA OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS NPI 1659672129

NPI Information

PEORIA OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS is an obstetrics gynecology in Peoria, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PEORIA OBSTETRICS & GYNECOLOGY OF CENTRAL ILLINOIS NPI is 1659672129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 MAIN ST STE 660
PEORIA, IL
ZIP 61602-060
Phone: (309) 687-4230
Fax: (309) 687-4235

The provider's authorized official is Paula Clark .
The authorized official title is Administrator and has the following contact phone number (309) 687-4242.

The enumeration date for this NPI number is 11/15/2010 and was last updated on 11/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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