ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC

PEORIA, IL
NPI1275575706
Former Legal Business NameGASTROENTEROLOGY, LTD
Entity TypeOrganization
Authorized ContactMIKE SHADLEY
Administrator
309-672-4980
Organization Subpart ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IL  042006270)
Enumeration Date2006-06-11
Last Update Date2020-08-17
Business Address
ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
1001 MAIN ST SUITE 500A
PEORIA, IL 61606-1907
Phone number: 309-672-4980
Mailing Address
ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
PO BOX 365
MORTON, IL 61550-0365
Phone number: 309-672-4980