| NPI | 1255301909 |
|---|---|
| Doing Business As | MEDICAL SERVICE PLAN @ PEORIA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM R NICHOLAS Ex Director Of Medical Service Plan 312-413-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-22 |