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1982633202
LUCILLE A FENDRICK
PEORIA, IL
NPI
1982633202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036-090874)
Enumeration Date
2006-06-30
Last Update Date
2007-07-09
Business Address
-- LUCILLE A FENDRICK M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2553
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Mailing Address
-- LUCILLE A FENDRICK M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
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