Edward W Pegg Md, LLC
NPI #1568667772 in Bloomington, Illinois
Provider Information
- NPI Number
- 1568667772
- Entity Type
- Organization
- Organization Name
- Edward W Pegg Md, LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 18, 2007
- Last Updated
- May 29, 2008
Practice Location
- Address
- 1505 EASTLAND DR STE 2400
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7911
- Phone
- (309) 661-7344
Authorized Official
- Name
- EDWARD W PEGG III, MD
- Title
- OWNER
- Phone
- (309) 661-7344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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