| NPI | 1831521947 |
|---|---|
| Doing Business As | SMH-PERU/ENT & ALLERGY CENTER |
| Doing Business As | IVCH MEDICAL GROUP / ENT & ALLERGY CENTER |
| Entity Type | Organization |
| Authorized Contact | DORI BONNELL Director Of Physician Practices 815-780-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2021-01-27 |