| NPI | 1053362343 |
|---|---|
| Doing Business As | PEORIA AMBULATORY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | TINA M PEUGH Executive Director, Soderstrom Derm 309-674-7546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7001530) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-06-25 |