# TERRY I MERIDEN MD SC

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

## Provider details

- **NPI number:** 1487927265
- **Authorized official:** DR. TERRY I MERIDEN MD FACP FACN FACE (PRESIDENT/OWNER)
- **Authorized official phone:** (309) 673-1717

## Contact information

- **Practice address:** 900 MAIN ST, SUITE 300, PEORIA, IL 61602-1005
- **Practice address phone:** (309) 673-1717
- **Practice address fax:** (309) 673-7221
- **Mailing address:** 900 MAIN ST, SUITE 300, PEORIA, IL 61602-1005
- **Mailing address phone:** (309) 673-1717
- **Mailing address fax:** (309) 673-7221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0360586021 | IL | Yes |

## Other

- **Enumeration date:** 02/09/2012
- **Last updated:** 03/13/2013