Mid Illini Surgical Associates Sc

NPI #1093854002 in Peoria, Illinois

Provider Information

NPI Number: 1093854002
Entity Type: Organization
Organization Name: Mid Illini Surgical Associates Sc
Primary Specialty: Surgery
Enumeration Date: Feb 6, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 900 MAIN ST
Address 2: SUITE 530
City: Peoria
State: Illinois
ZIP Code: 61602-1074
Phone: (309) 672-5975

Authorized Official

Name: GREG TOTTEN
Title: OFFICE MANAGER
Phone: (309) 672-5975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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