NPI: 1811220650
Provider Name: MUSCULOSKELETAL SURGERY CENTER, LLC
Doing Business As: GREAT PLAINS, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization
Specialization: Multi-Specialty
Address:
303 N WILLIAM KUMPF BLVD
PEORIA, IL
ZIP 61605
Phone: (309) 676-5546
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MUSCULOSKELETAL SURGERY CENTER, LLC is a multi-specialty clinic center in Peoria, IL. MUSCULOSKELETAL SURGERY CENTER, LLC NPI is 1811220650. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Plains, Llc.
The provider's business location address is:
303 N WILLIAM KUMPF BLVD
PEORIA, IL
ZIP 61605-507
Phone: (309) 676-5546
Fax: (309) 676-5045
The provider's authorized official is Janet E Smith .
The authorized official title is Chief Operating Officer and has the following contact phone number (309) 676-5546.
The enumeration date for this NPI number is 9/11/2009 and was last updated on 9/11/2009.