| NPI | 1568433050 |
|---|---|
| Doing Business As | MEDICAL SERVICE PLAN AT PEORIA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM R NICHOLAS Executive Director Of Msp 312-413-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |