| NPI | 1851764369 |
|---|---|
| Doing Business As | IVCH MEDICAL GROUP / PERU PRIMARY CARE CLINIC |
| Doing Business As | SMH-PERU/PERU PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DORINDA C BONNELL Director Of Physician Practices 815-780-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-01-27 |