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Organization
SHER INSTITUTE FOR REPRODUCTIVE MEDICINE CENTRAL ILLINOIS PC
Active
Organization
SHER INSTITUTE FOR REPRODUCTIVE MEDICINE CENTRAL ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON MCNICHOL MD (DOCTOR)
(309) 389-0411
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 110, PEORIA, IL 61614-5098
(309) 389-0411
(309) 689-0784
Mailing address
5320 S RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89118
(702) 794-0073
(702) 696-0554
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05747100
IL
Other
Enumeration date
05/25/2007
Last updated
07/23/2008
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