# PEORIA HAND SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255721502
- **Authorized official:** GREGORY J ADAMSON X M.D. (PRESIDENT)
- **Authorized official phone:** (309) 693-3970

## Contact information

- **Practice address:** 5401 N KNOXVILLE AVE, SUITE 107, PEORIA, IL 61614-5098
- **Practice address phone:** (309) 693-3970
- **Practice address fax:** (309) 693-3971
- **Mailing address:** 5401 N KNOXVILLE AVE, SUITE 107, PEORIA, IL 61614-5098
- **Mailing address phone:** (309) 693-3970
- **Mailing address fax:** (309) 693-3971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 036089935 | IL | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 04/29/2016