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Organization
SACRED HEART CLINIC OF LASALLE INC.
Active
Organization
SACRED HEART CLINIC OF LASALLE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMELIA DORIS LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 335-4715
Entity
Organization
Contact information
Practice address
920 WEST ST STE 214, PERU, IL 61354-2769
(224) 587-0569
Mailing address
920 WEST ST STE 214, PERU, IL 61354-2769
(224) 587-0569
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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