| NPI | 1245429380 |
|---|---|
| Doing Business As | SMH-PERU/PERU MEDICAL CLINIC |
| Doing Business As | IVCH MEDICAL GROUP / PERU MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DORI C BONNELL Director Of Physician Practices 815-780-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2021-01-27 |