Susan J Cole, MD & Associates

NPI #1083848188 in Peoria, Illinois

Provider Information

NPI Number
1083848188
Entity Type
Organization
Organization Name
Susan J Cole, MD & Associates
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
May 5, 2009
Last Updated
May 5, 2009

Practice Location

Address
5401 N KNOXVILLE AVE
Address 2
SUITE 107
City
Peoria
ZIP Code
61614-5098
Phone
(309) 691-2311

Authorized Official

Name
DR. SUSAN JOAN COLE, MD
Title
LEAD PHYSICIAN
Phone
(309) 691-2311

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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Provider Name
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