Associated University Neurosurgeons Sc

NPI #1265487664 in Peoria, Illinois

Provider Information

NPI Number: 1265487664
Entity Type: Organization
Organization Name: Associated University Neurosurgeons Sc
Primary Specialty: Neurological Surgery
Enumeration Date: May 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 719 N WILLIAM KUMPF BLVD
Address 2: SUITE 100
City: Peoria
State: Illinois
ZIP Code: 61605
Phone: (309) 676-0766

Authorized Official

Name: PATRICK TERENCE TRACY, MD
Title: PRESIDENT ASSOCIATED UNIVERSITY NEU
Phone: (309) 676-0766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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