| NPI | 1962475996 |
|---|---|
| Doing Business As | MEDICAL SERVICE PLAN AT PEORIA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM R NICHOLAS Executive Dircetor Of Msp 312-413-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |