NICOLAAS MICHAEL JONGERIUS

PEORIA, IL
NPI1235144056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036068987)
Enumeration Date2006-07-30
Last Update Date2011-07-07
Business Address
-- NICOLAAS MICHAEL JONGERIUS MD
5016 UNIVERSITY AVENUE SUITE 107
PEORIA, IL 61614
Phone number: 309-740-4232
Mailing Address
-- NICOLAAS MICHAEL JONGERIUS MD
5016 UNIVERSITY AVENUE SUITE 107
PEORIA, IL 61614
Phone number: 309-740-4232