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1972507747
INTERNAL MEDICINE GROUP OF PEORIA SC
PEORIA, IL
NPI
1972507747
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Entity Type
Organization
Authorized Contact
JAMES W BAUER
President
309-655-7888
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 042001235)
Enumeration Date
2005-06-09
Last Update Date
2007-09-05
Business Address
INTERNAL MEDICINE GROUP OF PEORIA SC
200 E PENNSYLVANIA AVE STE 105
PEORIA, IL 61603-3045
Phone number: 309-655-7888
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Mailing Address
INTERNAL MEDICINE GROUP OF PEORIA SC
200 E PENNSYLVANIA AVE STE 105
PEORIA, IL 61603-3045
Phone number: 309-655-7888
Copy
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