| NPI | 1205469483 |
|---|---|
| Doing Business As | SMH-PERU WOUND & HYPERBARIC CENTER |
| Doing Business As | IVCH WOUND & HYPERBARIC CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA KAY LYNCH A VP Of Finance 815-780-3574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208600000X Surgery | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2021-01-27 |