Central Illinois Pathology, Sc

NPI #1114970761 in Peoria, Illinois

Provider Information

NPI Number
1114970761
Entity Type
Organization
Organization Name
Central Illinois Pathology, Sc
Primary Specialty
Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date
May 17, 2006
Last Updated
Oct 30, 2007

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 624-9011

Authorized Official

Name
DR. MICHAEL P HAYES, M.D.
Title
ADMINISTRATOR
Phone
(309) 624-9011

Specialties & Taxonomy Codes

Specialty
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology

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