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Organization
PEKIN HOSPITAL
Active
Organization
PEKIN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JEPSON (CEO)
(309) 353-0756
Entity
Organization
Contact information
Practice address
600 SO 13TH STREET, PEKIN, IL 61554
(309) 353-0406
(309) 347-1240
Mailing address
600 SO 13TH STREET, PEKIN, IL 61554
(309) 353-0406
(309) 347-1240
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0001834
IL
367500000X
Certified Registered Nurse Anesthetist
0001834
IL
Other
Enumeration date
03/21/2007
Last updated
07/06/2012
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