Internal Medicine Group of Peoria Sc

NPI #1972507747 in Peoria, Illinois

Provider Information

NPI Number: 1972507747
Entity Type: Organization
Organization Name: Internal Medicine Group of Peoria Sc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 9, 2005
Last Updated: Sep 5, 2007

Practice Location

Address: 200 E PENNSYLVANIA AVE
Address 2: STE 105
City: Peoria
State: Illinois
ZIP Code: 61603-3045
Phone: (309) 655-7888

Authorized Official

Name: JAMES W BAUER, M.D.
Title: PRESIDENT
Phone: (309) 655-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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