Peoria Surgical Group, Ltd.

NPI #1275542045 in Peoria, Illinois

Provider Information

NPI Number: 1275542045
Entity Type: Organization
Organization Name: Peoria Surgical Group, Ltd.
Primary Specialty: Surgery
Enumeration Date: Aug 7, 2006
Last Updated: Nov 10, 2011

Practice Location

Address: 1001 MAIN STREET
Address 2: SUITE 300
City: Peoria
State: Illinois
ZIP Code: 61606-2037
Phone: (309) 495-0200

Authorized Official

Name: DR. THOMAS ROSSI, M.D.
Title: M.D./VICE PRESIDENT, MANAGING PART
Phone: (309) 495-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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