| Ivch Medical Group / Lasalle Medical Clinic | |
|
128 Bucklin St La Salle IL 61301-2389 | |
| (815) 220-7170 | |
| Not Available |
| Full Name | Ivch Medical Group / Lasalle Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Bucklin St, La Salle, Illinois |
| Authorized Official Name and Position | Dori Bonnell (DIRECTOR OF PHYSICIAN PRACTICES) |
| Authorized Official Contact | 8157803222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivch Medical Group / Lasalle Medical Clinic 1305 6th St Peru IL 61354-2759 Ph: (815) 780-5030 | Ivch Medical Group / Lasalle Medical Clinic 128 Bucklin St La Salle IL 61301-2389 Ph: (815) 220-7170 |
| NPI Number | 1861770802 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861770802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
St. Margaret's Health-peru Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-0196 Fax: 815-223-0358 | |
St. Margaret's Health-peru Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-0196 Fax: 815-223-0358 | |
Ivch Medical Group/ Lasalle Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Bucklin St, La Salle, IL 61301 Phone: 815-220-7170 | |
Hygienic Institute Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-0196 Fax: 815-223-0358 |