| NPI | 1255916078 |
|---|---|
| Doing Business As | SPRINGFIELD CLINIC PEORIA |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL COUSINS VP, Managed Care & Ancillary Servic 217-528-7541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |