| Cardinal Medical Group, Ltd. | |
|
6339 N Big Hollow Rd Peoria IL 61615-2907 | |
| (309) 693-3315 | |
| (309) 693-9385 |
| Full Name | Cardinal Medical Group, Ltd. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6339 N Big Hollow Rd, Peoria, Illinois |
| Authorized Official Name and Position | Michael A Shadley (ADMINISTRATOR) |
| Authorized Official Contact | 3096938611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Medical Group, Ltd. 6339 N Big Hollow Rd Peoria IL 61615-2907 Ph: (309) 693-3315 | Cardinal Medical Group, Ltd. 6339 N Big Hollow Rd Peoria IL 61615-2907 Ph: (309) 693-3315 |
| NPI Number | 1992829485 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992829485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
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