# SACRED HEART CLINIC OF LASALLE INC.

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

## Provider details

- **NPI number:** 1336755941
- **Authorized official:** MRS. AMELIA DORIS LEDBETTER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (573) 335-4715

## Contact information

- **Practice address:** 920 WEST ST STE 214, PERU, IL 61354-2769
- **Practice address phone:** (224) 587-0569
- **Mailing address:** 920 WEST ST STE 214, PERU, IL 61354-2769
- **Mailing address phone:** (224) 587-0569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2020
- **Last updated:** 09/18/2020