Greater Peoria Obstetrics & Gynecology Corp Sc

NPI #1912129271 in Peoria, Illinois

Provider Information

NPI Number: 1912129271
Entity Type: Organization
Organization Name: Greater Peoria Obstetrics & Gynecology Corp Sc
Primary Specialty: Specialist
Enumeration Date: May 3, 2007
Last Updated: May 1, 2015

Practice Location

Address: 4930 N EXECUTIVE DR
City: Peoria
State: Illinois
ZIP Code: 61614-4894
Phone: (309) 671-8749

Authorized Official

Name: JUDY MUELLER
Title: MANAGER
Phone: (309) 692-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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