Illinois Gastroenterology Institute, Pllc
NPI #1275575706 in Peoria, Illinois
Provider Information
- NPI Number
- 1275575706
- Entity Type
- Organization
- Organization Name
- Illinois Gastroenterology Institute, Pllc
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Aug 17, 2020
Practice Location
Authorized Official
- Name
- MIKE SHADLEY
- Title
- ADMINISTRATOR
- Phone
- (309) 672-4980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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