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1235144056
NICOLAAS MICHAEL JONGERIUS
PEORIA, IL
NPI
1235144056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036068987)
Enumeration Date
2006-07-30
Last Update Date
2011-07-07
Business Address
-- NICOLAAS MICHAEL JONGERIUS MD
5016 UNIVERSITY AVENUE SUITE 107
PEORIA, IL 61614
Phone number: 309-740-4232
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Mailing Address
-- NICOLAAS MICHAEL JONGERIUS MD
5016 UNIVERSITY AVENUE SUITE 107
PEORIA, IL 61614
Phone number: 309-740-4232
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