Illinois Neurological Institute-Physicians LLC

NPI #1841447653 in Peoria, Illinois

Provider Information

NPI Number: 1841447653
Entity Type: Organization
Organization Name: Illinois Neurological Institute-Physicians LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OSF HEALTHCARE SYSTEM
Primary Specialty: Neurological Surgery
Enumeration Date: Aug 22, 2008
Last Updated: Apr 8, 2016

Practice Location

Address: 200 E PENNSYLVANIA AVE
City: Peoria
State: Illinois
ZIP Code: 61603-3089
Phone: (309) 624-4000

Authorized Official

Name: JAMES M MOORE
Title: CEO
Phone: (309) 655-2850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Neurological Surgery	207T00000X	Primary

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