| NPI | 1952997538 |
|---|---|
| Doing Business As | ILLINOIS VALLEY COMMUNITY HOSPITAL PAIN CLINIC |
| Doing Business As | SMH-PERU PAIN CLINIC |
| Doing Business As | ILINOIS VALLEY COMMUNITY HOSPITAL PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | DORI C BONNELL Director 815-780-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-01-27 |