| NPI | 1710281787 |
|---|---|
| Doing Business As | IVCH MEDICAL GROUP / FAMILY MEDICINE CLINIC |
| Doing Business As | SMH-PERU/FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DORI BONNELL Director Of Physician Practices 815-780-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-01-28 |