| NPI | 1306207311 |
|---|---|
| Doing Business As | IVCH MEDICAL GROUP / INFECTIOUS DISEASE CLINIC |
| Doing Business As | SMH-PERU/INFECTIOUS DISEASE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DORI BONNELL Director Of Physician Practices 815-780-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-01-28 |