| NPI | 1619948411 |
|---|---|
| Doing Business As | MEDICAL SERVICE PLAN AT PEORIA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM R NICHAOLAS Executive Director Of Msp 312-413-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |