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Organization
PROVENA HOSPITALS
Active
Organization
PROVENA HOSPITALS
Active
Other names
PUSMC PHYSICIAN BILLING
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SCHIMEROWSKI (CFO)
(217) 477-2737
Entity
Organization
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 448-5000
(217) 477-2966
Mailing address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 448-5000
(217) 477-2966
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036086987
IL
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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