PEORIA UROLOGICAL ASSOCIATES S.C

PEORIA, IL
NPI1538123468
Entity TypeOrganization
Authorized ContactJOSEPH BANNO
CEO
309-692-9898
Organization Subpart ?No
Primary Taxonomy103TH0100X Psychologist Health Service
Additional Taxonomies208800000X Urology
Enumeration Date2006-04-17
Last Update Date2020-08-22
Business Address
PEORIA UROLOGICAL ASSOCIATES S.C
7309 N KNOXVILLE AVE
PEORIA, IL 61614-2085
Phone number: 309-692-9898
Mailing Address
PEORIA UROLOGICAL ASSOCIATES S.C
7309 N KNOXVILLE AVE
PEORIA, IL 61614-2085
Phone number: 309-692-9898