| Ivch Medical Group / Peru Medical Clinic | |
|
920 West St Ste 117 Peru IL 61354-2765 | |
| (815) 223-3500 | |
| (815) 223-1790 |
| Full Name | Ivch Medical Group / Peru Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 920 West St Ste 117, Peru, Illinois |
| Authorized Official Name and Position | Dorinda C 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 / Peru Medical Clinic 1305 6th St Peru IL 61354-2759 Ph: (815) 780-4619 | Ivch Medical Group / Peru Medical Clinic 920 West St Ste 117 Peru IL 61354-2765 Ph: (815) 223-3500 |
| NPI Number | 1659744167 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659744167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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